Internship Application

Please read ALL information on the Internship Program webpage before filling out the application.

* Required

Contact Information
First and Last
Program Information
Internship
If requesting to intern with a specific counselor, please provide the name of the counselor.
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, internships, or through other experiences, including academic.
Emergency Contact
First and Last
Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an intern, any false statements, omissions, or other misrepresentations made by me on this application may result in my dismissal.