Allied Wellness Center Teen Internship Application - Acting on Wishes for a Healthier Community

Allied Wellness Center Teen Internship Application - Acting on Wishes for a Healthier Community
Internship Overview:
Allied Wellness Center is offering three internship positions for teens who want to help bring one of the wishes from the Teen Takeover for a Healthier Community Event to life. Interns will meet with staff twice per month on a Monday from 6:00 PM – 7:30 PM during the school year to work on a community health or wellness project. It will pay $40 per meeting/13 meetings for a total of $520.00.
Teen Information
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
School
Grade
Parent/Guardian Name

First NameLast Name
Parent/Guardian Contact Phone Number
Please enter a valid phone number.
Tell Us about You
What is one wish you have for your community related to health or well-being?
Why is this wish important to you or your neighborhood?
What’s one way you’d like to help make that wish come true?(Example: organizing, art, talking to people, designing something, etc.)
Do you have transportation to get to the Allied Wellness Center every other Monday from 6-7:30 PM?

YESNOMAYBE
Are there any days/times you know you would have conflicts?
✅ Final Details
Application Due: JULY 25, 2025
Submit To: jotform
Interns Notified By: AUGUST 4th, 2025
Internship Dates: Monday, September 15th, 2025 - April 13th, 2026
Location: Allied Wellness Center, 4689 Atticus Way, Madison WI 53705
Teen Signature

Clear
Parent/Guardian Signature

Clear
Should be Empty:

Allied Wellness Center Teen Internship Application - Acting on Wishes for a Healthier Community

Teen Information

Tell Us about You