Internship Application
Name
First Name
Last Name
Pronouns
Email
example@example.com
Phone Number
Please enter a valid phone number.
What graduate program are you currently attending?
Please Select
College of Social Work- The Ohio State University
Counselor Education- The Ohio State University
Counselor Education- Capital Univeristy
Other program
Please name the program you are currently attending:
Why do you want to be a therapist?
What expectations do you have for your internship placement?
In what ways do you think you would be a good fit at Clintonville Counseling & Wellness?
We are a very queer-centered practice; tell us about your experience with the LGBTQIA2S+ community, both personally and professionally.
Tell us about yourself. What are some of your hobbies, interests, aspirations, and goals?
Please upload your resume below.
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