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 Name
Last Name
Preferred Name
First Name
Last Name
Preferred Pronouns
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Current School / University
Major/Program Study
Academic Level
Please Select
Freshman
Sophomore
Junior
Graduate Student
Anticipated Graduation Date
-
Month
-
Day
Year
Date
Faculty Advisor / Internship Coordinator Name
First Name
Last 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)
Forensic Interviewing
Client/Family Advocacy
Prevention & Community Engagement
Administrative / Operations Support
Development / Fundraising / Marketing
Other
Why are you interested in interning at Pat’s Place?
Weekly Availability
Relevant Coursework / Training
Previous Volunteer / Internship Experience
Language(s) Spoken
Technical Skills
Have you ever been convicted of a crime (excluding minor traffic offenses)?
Yes
No
If yes, please explain.
Do you consent to a background check?
Yes
No
Please upload your resume.
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Proof of Enrollment
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