Application for Internship/Practicum
Invaluable training for master’s-level interns
Student /Applicant Information
The Children's Home Counseling Services internships provide invaluable training for interns who are looking for a dynamic and diverse working environment while pursuing a master’s degree.
Are you currently pursuing a master’s degree?
Yes
No
Students Name
First Name
Last Name
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
*
I agree to receive communications by text message from the Children’s Home Counseling Services about my inquiry. You may opt-out by replying STOP or ask for more information by replying HELP. Message frequency varies. Message and data rates may apply.
You may review our
Privacy Policy
to learn how your data is used.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Back
Next
University/Grad Program Information
Name of University
Grad Program you are attending
Pursued degree
Excepted date of completion
-
Month
-
Day
Year
Date
Proposed start date of intership/practicum
-
Month
-
Day
Year
Date
Proposed end date of internship/practicum
-
Month
-
Day
Year
Date
This site requires the use of a personal vehicle (mileage reimbursed) to drive to see participants in homes, schools, and other site in the community. Can you commit to this?
Yes
No
Back
Next
Please answer the following questions:
Please describe why you are interested in pursuing the Children's Home Counseling Services for your internship/practicum.
Please describe your goals for your internship/practicum.
Please describe any previous or current experience(s) working/volunteering with children, adolescents and families and any other relevant experience you may have.
Back
Next
The internship requires interns to meet with participants, maintain accurate and timely documentation, communicate with supervisor and program manager, and to meet deadlines. Is this something you believe you can commit to? What areas might you needs help to meet these requirements?
Is there anything that you believe is important for us to know in our consideration of your application?
Back
Next
Please include a cover letter and resume with this application.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: