Internship Application Internship Application NEW First Name Last Name What are your pronouns? Anticipated age at start date Email Preferred Phone What opportunity (or opportunities) are you applying for? How did you learn of this opportunity? What type of internship are you seeking? Undergraduate GraduateAre you seeking a Clinical or Non-Clinical internship? Clinical Non-ClinicalDesired Start Date PreviousNextEducation InformationHighest level of education completed Degrees earned Are you seeking an internship placement for class credit? Yes NoHow many semesters are required for your course requirements? Who is your internship instructor or liaison? Current place of enrollment Current Major/Program Hours needed Licenses and Certifications Languages spoken other than English PreviousNextEmployment InformationCurrent EmployerCurrent Position Current Employer Current Employer AddressAddress Line 1 Address Line 2 City State Zip Code Current Supervisor Current Supervisor Phone Current Supervisor Email PreviousNextVolunteer HistoryDescribe any experience you have working with youth aged 11-25 or any vulnerable populations Describe any past volunteer experience that you have AvailabilityPlease indicate your availabilityMorningAfternoonEveningSunMonTueWedThurFriSatHow many shifts are you willing to work per week? How many hours do you need to complete per week/per semester? PreviousNextEmployer ReferenceName Relationship Phone Email Personal or Professional Reference 1 (non-relative)Name Relationship Phone Email Personal or Professional Reference 2 (non-relative)Name Relationship Phone Email Emergency ContactName Relationship Phone Emergency Contact's AddressAddress Line 1 Address Line 2 City State Zip Code PreviousNextAttach a copy of your resume (PDF or Word Doc) Upload Resume I certify that all information provided in this application is true to the best of my knowledge. I consent to having this website store my submitted information so Pathfinders can respond to my application.Signature Sign Here Today's Date Previous Send Get Involved Provide safety, hope and healing to youth. Get Informed Learn about issues impacting youth. Donation Drop-offs Guidelines for in-kind gifts.