Student Intern Application Form

CACCLT Student Intern Application Form

We’re excited about your interest in interning with Child Advocacy Center of Charlotte. Please fill out this application to be considered for an internship with us.
Full Name

First NameLast Name
Preferred Name

First NameLast Name
Preferred Pronouns
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current School / University
Major/Program Study
Academic Level
Faculty Advisor / Internship Coordinator Name

First NameLast Name
Faculty Advisor / Internship Coordinator Email
example@example.com
Faculty Advisor / Internship Coordinator Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Area(s) of Interest (multi-select)

Other
Why are you interested in interning at Children's Advocacy Center of Charlotte?
Weekly Availability
Internship Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Internship End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Relevant Coursework / Training
Language(s) Spoken
If yes, please explain.
Do you consent to a background check?
Please upload your resume.

Cancelof
Proof of Enrollment

Cancelof
Type a question
Due to liability and the complexity of our work, we are only able to accept students who are completing an internship as a requirement of their academic course of study.
Should be Empty:

CACCLT Student Intern Application Form