First Name
*
Last Name
*
Phone Number
*
Email
*
School Attending
Year in School
Internship Location Preference
*
Please Select
Indianapolis, IN
Remote/Hybrid
Internship Interest #1
*
Please Select
Volunteerism Intern
Events Intern
Extended Intern
Engagement Intern
Reception and Placement (R&P)
LCORE-English
Self-Sufficiency (Employment)
Legal (Paralegal)
Legal (Legal Assistant)
Youth Program (Part-time or Full-Time)
Housing
Health Advocate
Mental Wellness
Internship Interest #2
*
Please Select
Volunteerism Intern
Events Intern
Extended Intern
Engagement Intern
LCORE-English
Self-Sufficiency (Employment)
Legal (Paralegal)
Legal (Legal Assistant)
Reception and Placement (R&P)
Youth Program (Part-time or Full-time)
Housing
Health Advocate
Mental Wellness
Major
Spoken Languages
Will you be interning for academic credit?
*
Yes
No
Describe the academic requirements for your internship:
For academic purposes, do you require weekly supervision meeting with an Exodus staff member? If yes, how many hours per week?
Does the supervising staff member have to have a specific degree or certification? (Ex. MSW or LCSW) If yes, what specific reporting requirements will be asked of the supervising staff member? Will a site visit by a professor or academic advisor be required?
Available Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Are you able to commit to at least 16 hours (office hours) for at least 10 weeks?
*
Weekly Availability for Internship - please only specify the times that you will be spending at Exodus.
*
9 AM
10 AM
11 AM
12P
1P
2P
3P
4P
5P
Monday
Tuesday
Wednesday
Thursday
Friday
Do you have expereince with:
Yes!
Some
Nope
Office Work
Teaching/Tutoring
Advocacy
Graphic Design
Fundraising
Photography
Describe your experience working with diverse groups.
Describe your experience maintaining confidentiality.
Experience with IndyGO
Please Select
I have used it and can teach others!
I've never used it, but I'm happy to learn so I can teach clients!
I'm not comfortable taking a city bus.
Do you have a valid license, you own reliable vehicle, and valid insurance?
*
Yes!
No
Are you willing to drive clients to appointments in your vehicle?
Yes!
No.
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