Intern/Volunteer Application

Name*

First NameLast Name

Email*

example@example.com

Best Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

College/University (if applicable)

Major(s) (if applicable)

Please describe why you are interested in an intern/volunteer position with the Autism Program at Boston Medical Center.*

What is one thing you hope to learn as a result of participating in this opportunity?*

Please list any language proficiency other than English, and describe proficiency level. Please be sure to note whether or not you'd be comfortable translating written documents into this language. *

Please briefly share any personal or professional experiences working with individuals on the autism spectrum (Note - this is not a requirement.)*

Will you be completing this placement for academic credit?*

YesNo

During what timeframe are you interested in a placement with our program? Check all that apply.*

Spring (February-May)Summer (June-August)Fall (September - December)Other

Please provide your day-to-day availability, as well as whether that availability would be in-person or remote (or both). For example, "Mondays, 9:00-3:00 in-person". *

Roughly how many hours TOTAL per week would you have available for this placement?

How did you hear about the Autism Program?*

In roughly 200 words, please describe 1-3 personal characteristics that you feel would make meaningful contributions to the work of our program. *

After reviewing program area descriptions on our website, please choose your primary program area of interest: *

After reviewing program area descriptions on our website, please choose your backup program area of interest: *

Please upload resume and cover letter. If there is a reason that you cannot submit both a cover letter and/or resume, please write Alex at Alex.Friedman@bmc.org*

I confirm that today's date is included in one of the following (as per instruction on our website):*

February 1 - March 1April 1 - June 1September 1 - November 1