TCC Internship Application

The Tuscaloosa Children's Center, Inc.

Internship Application
Helping Children in the Community

Protecting, assisting, and caring for victims of child abuse and neglect
The mission of The Tuscaloosa Children's Center (TCC) is to provide a community based, multi-disciplinary response to child abuse victims and supportive family members by coordinating the efforts of the Office of the District Attorney, local law enforcement, the Department of Human Resources, and professional agencies involved in the investigation, management, and prosecution of child abuse cases; provide protection from further harm through investigation, medical evaluation, counseling, resource referrals and legal advocacy; advance awareness and understanding of the problem of child abuse through community education; and promote the safety and well-being of all children.

TCC regularly provides internship opportunities for students who are pursuing a career in social work, psychology, sociology, human development, criminal justice, etc. Although interns do not receive financial compensation for their services, they are able to gain invaluable work experience. Interns are expected to uphold a high level of professionalism and the moral standards contained in the TCC personnel handbook. Interns are subject to the same procedures regarding equal employment, background checks and signed confidentiality, etc. Interns are supervised by all staff members, but direct oversight of these individuals is the responsibility of both the Executive Director and the Child & Family Advocate.
Equal Employment Opportunity:
The Tuscaloosa Children's Center, Inc. provides equal employment without regard to race, religion, sex, national origin, handicap, or veteran's status, in accordance with applicable federal and state laws. This policy extends to all terms and conditions of employment, including hiring, placement, promotion, termination, leave of absence, compensation, and training.
Background Checks and Signed Confidentiality Forms:
Any employee, volunteer, intern, etc. wishing to seek opportunities within our agency are required to do the following:
- Pass a background check through the Alabama Bureau of Investigation prior to employment.
- Pass a child abuse registry check through the Alabama Department of Human Resources prior to employment.
- Have a signed confidentiality form on file at The Tuscaloosa Children's Center.
Failure to satisfactorily complete ANY of these steps may disqualify an individual from working, volunteering or interning with the TCC. The TCC reserves sole discretion over the acceptance and placement of employees, volunteers, and interns according to the needs of the agency at a particular time.

Personal and Education Information

Please complete the information below.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Format: (000) 000-0000.
E-mail Address
Emergency Contact/Relationship
Emergency Contact Phone Number
Format: (000) 000-0000.
Current Academic Institution
Current Academic Level
Major
Minor
Expected Graduation Date

References:

Please provide at least two professional or academic references who can speak to your character, work ethic, and abilities. References should not be family members or relatives.
Reference 1 Name/Relationship
Phone Number
Format: (000) 000-0000.
E-mail Address
Reference 2 Name/Relationship
Phone Number
Format: (000) 000-0000.
E-mail Address

Short Response Questions

Please complete the questions below.
1. Please briefly summarize your future educational and professional goals.
2. How do you feel an internship with The Tuscaloosa Children's Center, Inc. would benefit your educational efforts?
3. Please list prior experience, internships, or volunteer work.
4. What would you like to gain from your experience at The Tuscaloosa Children's Center, Inc.?
5. Have you ever been convicted of or pled no contest to a misdemeanor and/or felony?
If yes, please explain:

Agreement and Signature:

Please read the following statement carefully and sign below.
I certify that the statement I have made in this application are true, complete and correct to the best of my knowledge and made in good faith. I hereby grant The Tuscaloosa Children's Center, Inc. permission to verify such information and conduct a background check (at my expense), including any criminal history, a child abuse registry check, and contact any professional references. I hereby release The Tuscaloosa Children's Center, Inc. from any and all claims arising in any way from their participation in such an inquiry or investigation.

I acknowledge that if I sustain an injury while performing duties as an intern at The Tuscaloosa Children’s Center, Inc., I am not covered under the Center’s insurance policy and will be personally responsible for any resulting medical expenses. I voluntarily assume all risks associated with the internship and agree to release and hold harmless The Tuscaloosa Children’s Center, Inc. from any claims or liabilities arising from injuries sustained during my internship.

I have read and understand the intern duties and responsibilities as outlined in The Tuscaloosa Children's Center, Inc. Internship Application and hereby agree to abide by them. I agree to always maintain strict confidentiality regarding all clients, families and donors involved with The Tuscaloosa Children's Center, Inc.
Signature
Date

MonthDayYear
If you have any questions, please contact:

Ebony L. Johnson, Ph.D.
Executive Director
tuscaloosacc@bellsouth.net
(205)752-7711
Should be Empty:

The Tuscaloosa Children's Center, Inc.

Helping Children in the Community

Equal Employment Opportunity:

Background Checks and Signed Confidentiality Forms:

Personal and Education Information

References:

Short Response Questions

Agreement and Signature: