Intern Application
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Employer
Emergency Contact Name
Emergency Contact Number and Email
What motivated you to want to be involved with Different Day?
How did you hear about Different Day?
Are you willing to give a six month commitment to volunteering, at minimum, at least once a month?
Yes
No
Areas I am interested in:
Stage Left Thrift Boutique
Programs Expressive Arts
Equine Assisted Therapy (MUST be in Social Work or Licensed Professional Counseling programs)
What are your core values and how do you exemplify them in your daily life?
Have you ever been faced with a task you did not know how to accomplish? How did you handle that?
Have you volunteered with a vulnerable population before? If so, where and what was your experience?
How do you handle high stress environments?
Have you ever encountered a crisis situation? If so, how did you respond?
In the past year have you been involved in any of the following areas?
Porn/Sexual addication
Addiction or use of illegal substances or alcohol
Problems with anger
Involvement with witchcraft or a cult
Involvement in a human trafficking case
None of the above
Tell us about trauma and how it affects people?
How long of an internship do you need?
You must be in school working towards your degree in social work, psychology, psychiatry, sociology, and/or counseling to work on the Program side. What degree are you working towards?
Are you interested in the expressive arts program?
Yes
No
What is your availability?
Are you interested in in the Equine Assisted Therapy Program?
Yes
No
Please list 2 references. Please submit name, number and email.
Submit
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