In-Home Postpartum Aide Internship Interest Form

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Thank you for expressing interested in being a In-Home Postpartum Aide Intern with MomsBloom! Interns are provided a $500 stipend to cover drive time, mileage to and from visits, housing, etc. during the internship.

At this time, we are only accepting Interest Forms for Summer and Fall of 2024. If you have any questions, please contact kimber@momsbloom.org

Full Name (First and Last) *

Contact Information (email and phone) *

Do you meet the minimum requirements? (check all that apply) *

Currently attending a university, college, or educational program (any degree)

Comfortable providing services in a family's home (throughout Kent County)

Ability to provide empathetic and non-judgmental support to ALL families

Must be able to independently provide support to your matches (a staff member will not be in the home with the intern; staff support is always available via call, text, video chat, etc.)

12+ hour commitment each week (no more than 25 hours/week); for at least 12 weeks

Required

Which semester(s) are you available to intern? *

Summer 2024 (May - Aug semester dates)

Fall 2024 (Sept - Dec semester dates)

Other:

Required

What county(ies) are you available to drive to support families? *

Kent County (including Lowell, Cedar Springs, Caledonia, Wyoming)

Ottawa County (including Spring Lake, Allendale, Hudsonville, Holland)

Required

Tell us a bit about yourself (interests, hobbies, passions, etc) *

What university, college, or program will you be enrolled in at the time of your internship? *

What degree, certificate, or education are you working towards? *

Why are you interested in being an In-Home Popstartum Aide Intern with MomsBloom? *

What are your semester/available start and end dates? For the semester you hope to intern *

How many hours per week can you commit to for this semester? *

Any other requirements from your university/college?

Any other information that you would like to share with our team

Please confirm - Are you able to drive to and from family's homes throughout Kent and/or Ottawa Counties? This could be up to 30 minutes of a drive one way

Yes

Maybe

Clear selection

Next Steps

Our staff will be in touch with you in a few weeks. If you are selected for next steps, we will schedule a phone interview.

If you are chosen to be on our internship team, then we will get you signed up and scheduled for our training and orientation!

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