CLE_Intern Application

Job Description:Being an intern at Cornerstone of Hope has many rewards, from the clinical training to the programming experience. The rewards come with a lot of work including but not limited to carrying a case load, facilitating a support group, community outreach, program preparation and participation. Many of our events are outside of regular business hours, meaning evenings and weekends. We understand that you have other obligations and that is why not all of our events are mandatory. We have plenty of opportunities to fulfill your required hours; however, our expectation is that even when your hours are complete you are still to fulfill the hours you have designated.
Contact Information
First Name*
Last Name*
E-mail Address*
Phone*
Address*
How did you hear about Cornerstone of Hope ?*
Please list any degrees you have.
What school are you attending?*
What program are you in?*
Internship Site start date*

MonthDay Year
Date
Internship Site end date*

MonthDay Year
Date
Currently, Cornerstone of Hope only accepts students that are able to commit to a practicum/internship experience of at least 2 full academic semesters. Can you make this commitment?*
For all Social Work and Art Therapy Students, are you a first year or second year student?
Do you or a member of your family currently have an existing relationship with Cornerstone of Hope or any of its employees as a donor, volunteer, committee member, etc.?*
If yes, please explain:
Prior to the start of your academic semester, interns will be required to attend an orientation and training seminar. This is a requirement for your internship. Dates will be provided during the interview.
As an intern, you will be required to attend Cornerstone of Hope events. Often times, these events are on evenings and weekends. Will you be able to attend and meet these requirements?*
It will enhance your education experience if you are available two evenings, one to see clients and one to do groups. Please list days of the week and times available. Note: At least one evening is required Ex. I can be here Mondays 12p-8p, Wednesdays 9a-4p, Thursdays 5p-8p, Fridays 9a-4p*
What drew you to grief counseling?*
We have mandatory group supervision with all of the interns from 12:00pm-2:00pm on Mondays; are you available at this time?*

YesNo
Do you have experience facilitating groups or individual counseling?*

GroupsIndividualNo experience
Have you had any classes/CEU on grief?*

YesNo
What are you looking for in an Internship?*
Cornerstone of Hope is dedicated to providing support, education, and hope for the grieving. Guided by Christian values of compassion and service, we welcome and serve all seeking support. How do these values resonate with you?*

References
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Last Name
E-mail Address
Phone
First Name
Last Name
E-mail Address
Phone
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E-mail Address
Phone
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