Internship Application Form
We are committed to serving a diverse and delicate population, including BIPOC individuals, men, children, and young adults within marginalized communities whom Domestic Violence and Sexual Violence have historically impacted. As an intern, you'll be able to engage in various tasks, such as facilitating support groups, participating in our Economic Empowerment program, and providing advocacy services. While we maintain a competitive selection process, with only four interns accepted per semester, we eagerly welcome applications from passionate individuals like you who seek hands-on experience in Advocacy and case management.
First Name
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Last Name
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Email
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example@example.com
Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Pronouns
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example@example.com
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Date Available:
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Days/ Hours Available:
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Total number of hours required:
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Would you be willing to drive in connection with the position(s) for which you are applying?
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Yes
No
If yes, do you have a valid driver’s license and current automobile insurance? (You will be required to provide proof of both)
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I acknowledge and agree that Kingdom Builders Family Life Center may conduct various background investigations concerning me through a private investigating agency or its own staff. I understand that these background investigations may include a criminal background check, an examination of my driving record, prior employment records, and references. I authorize Kingdom Builders Family Life Center and any individual or agency it employs to conduct criminal, prior employment, and other background investigations as it may deem necessary and appropriate to evaluate any application.In consideration of the receipt and evaluation of this application by Kingdom Builders Family Life Center, I hereby release Kingdom Builders Family Life Center and its agents, employees, and representatives, and any individual, charity, youth organization, employer, and any other person or organization, including records custodians, both collectively and individually, from any liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family on account of an investigation by Kingdom Builders Family Life Center of my background in connection with this application or release of information concerning me to Kingdom Builders Family Life Center.I HAVE CAREFULLY READ THE FOREGOING ACKNOWLEDGEMENT/RELEASE AND KNOW THE CONTENTS THEREOF, AND I SIGN THIS RELEASE OF MY OWN FREE ACT.I acknowledge that my electronic information and signature for the Kingdom Builders Family Life Center internship program is the legally binding equivalent of a traditional handwritten signature. I also acknowledge that any written documents or cases within Kingdom Builders Family Life Center are proprietary and confidential, and I have no rights to them.
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