CACCC CAP Internship Application Form

CACCC Child Abuse Prevention Internship Application
Please note, this is a two semester unpaid internship

As a Child Abuse Prevention Intern, you will support the development, coordination, and delivery of anti-victimization and prevention-focused educational programs. This role provides hands-on experience working alongside members of a Multidisciplinary Team, offering exposure to collaborative approaches in child advocacy and community protection. Interns will contribute to the creation of educational materials, presentations, resources, and interactive activities designed to promote child abuse prevention and community awareness while also assisting with the Center's Annual initiatives and projects. Children’s Advocacy Center of Collin County (CACCC) is committed to providing a hands-on experience for undergraduate and graduate students in the following Degree Programs: Communications, Public Helath, Business Adminstration, Law, Psychology, Family Studies, Education, Criminal Justice, or other related fields.

Interns are an essential part of the team at Children’s Advocacy Center of Collin County. They go above and beyond to help us fulfill our mission to provide safety, healing, and justice to children victimized by abuse and neglect.

Due to the sensitive nature of our business at CACCC, internship opportunities are limited to individuals 18 years of age.

Business hours are Monday – Thursday, 8 AM – 9 PM and Friday 8 AM – 5 PM

For questions please feel free to contact:

Noel Rath
Director of Child and Community Engagement
nrath@caccollincounty.org
972.633.6708
Personal Information
Full Name

First NameLast Name
Gender
Preferred Pronouns
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number

Area CodePhone Number
Information obtained from the following questions will be considered on an individual basis to ensure Children's Advocacy Center is a safe environment for student interns. Your responses will not automatically disqualify you from participation in the Child Abuse Prevention Internship.
Have you or a family member ever received assistance at CACCC?
Have you ever been a victim of abuse?
Have you been involved in a child abuse investigation?
Educational Information
Current University Name
Major
Upload Resume

Upload a File
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What are your career plans after obtaining your degree?

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What would you like to gain from your internship experience?

0/100
Please describe why you are interested in an internship with CACCC.

0/100
Does your internship require your field supervisor to have a specific degree/licensure?
Please specify.
Which 2 terms (consecutive) are you interested in?

Other
Type of Internship
Internship Information
List any special skills you feel may be an asset to CACCC:
Please tell us about any recent relevant volunteer/intern experience. Include organization's name, length of time, and primary responsibilities:
Are you fluent in other languages?
Please indicate the language(s) you are fluent in.
Emergency Contact
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Relationship:
Confidential and Misdemeanor Conviction Information
Children’s Advocacy Center of Collin County (CACCC) must perform criminal background checks on our interns, employees, volunteers, and vendors for the safety of all those who enter our building. Information obtained from this application or during any subsequent background check does not automatically disqualify you from participation or internship with CACCC. Relevant circumstances will be considered on an individual basis.
Have you been convicted of a felony or misdemeanor.
Provide details including date, place, nature of conviction, and disposition.
Are you currently under indictment or charged in an official criminal complaint accepted by a district or county attorney with a felony or misdemeanor.
Provide details including types of charges
Have you been prohibited from serving in any capacity as an employee or intern with any organization or agency working with children.
Provide details.
Have you been reassigned, removed, or asked to leave a position involving contact with children
Provide details.
I have read this form and understand that information provided may be verified by Children’s Advocacy Center of Collin County and will remain confidential.
Intern Signature
Date

MonthDayYear
Date
Employment Information
Current Employer
Job Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Length of Employment:
Type of Employment:
May we contact your employer?
Supervisor's Name:
Supervisor's Contact Number:
Personal References

Release to Contact References
I, First Name Last Name , hereby authorize Children's Advocacy Center of Collin County (CACCC) to contact personal references listed on this form and understand that CACCC will not be held liable for the release of this information.
Signature
Date

MonthDayYear
Date
Please provide information for three personal or business references who are NOT related to you.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Relationship to Intern:
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Relationship to Intern:
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Relationship to Intern:
Should be Empty:

CACCC Child Abuse Prevention Internship Application

Personal Information

Educational Information

Internship Information

Emergency Contact

Confidential and Misdemeanor Conviction Information

Employment Information

Personal References