Do you identify as Native American, American Indian, or Alaskan Native? *
Tribal affiliation (if applicable)
Your answer
What is your highest level of education?
Your answer
What college or university do you attend (If you are not currently enrolled, where did you most recently attend)? *
Your answer
Major and Minor/ Area of study (if applicable) *
Your answer
Do you plan to enroll in classes in the upcoming semester?
Clear selection
Would you like this internship to be your BSW or MSW Field Placement? *
Year *
Expected date of graduation
Your answer
Do you have reliable transportation? *
Which region would you prefer to intern in? *
What is your knowledge level of victim services, and do you have any previous professional experiences? *
Your answer
Describe your academic, professional, or personal experiences with Native American culture. *
Your answer
Which courses have you taken that are relevant to Native American studies or culture? *
Your answer
Why do you want to work with Indigenous communities? *
Your answer
Are you considering a career working in Tribal victim services? *
Would you like us to contact you regarding applying for financial aid, tuition assistance, enrollment in course or navigating barriers to completion of this or other college courses? *
How did you hear about our program?
Your answer
Any additional comments
Your answer
Miigwetch! (Thank you!)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northern Michigan University. Report Abuse