PRSS Intern Placement Application

PRSS Intern Placement Application
Personal Information
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Languages fluently spoken in addition to English
Gender
Highest level of education
Have you successfully completed a Nevada Certification Board approved PRSS training?
Are you certified to provide peer services through the Nevada Certification Board?
Please submit a copy of your GED/HiSet or equivalent.

As this is one of the requirements for PRSS-I certification, we request a copy of this prior to starting your internship. If you do not have a GED/HiSET or equivalent, contact Foundation for Recovery for information on GED classes.
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Why are you interested in becoming a PRSS-Intern?
What previous knowledge or experience do you have with direct services, the recovery field, or harm reduction?
What applicable skills and experience do you have that would help you be successful in this role?
Which of the following organizations are you interested in completing your internship with?
If available, I have read and throughly understand the job description of the organization(s) I am applying to complete an internship with.
Availability

Please select your general availability

Please indicate the maximum number of hours you're available per week
E.G. 12 hours per week
Next Steps
When this application is submitted, it is automatically shared with Foundation for Recovery and with relevant supervisors. After this application is reviewed, selected PRSS Intern applicants will go through an interview process with their selected organization.

If you have any questions, please contact us at training@forrecovery.org or (702)257-8199.
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Personal Information