Intern Interest Form

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This form aims to provide Tri-Synergy Counseling with information on your request to become an intern. Please complete this form, and Victoria will contact you within 72 hours of the business's opening hours.

Email *

Name *

First and last name

Date of Birth *

YYYY

Email *

Phone number *

List your educational history starting from a BA to the highest level of education. Please include your current enrollment. *

Which position(s) are you interested in? *

Undergraduate Intern for Administrative/marketing support (must be enrolled in a university)

Masters Level Counseling Intern (must be enrolled in a counseling masters program)

Undergraduate Intern for Marketing Only Support(must be enrolled in a university)

Required

Hours desired to work? *

5 hours a week

5 to 10 hours a week

10 or more hours a week

How long do you wish to be at this internship? *

3 months

6 months

8 months to a year

1 year or more

When do you want to start? *

As soon as possible

Start In Summer (May)

Start in Fall (August)

Start in Winter/Spring Semester (January)

Required

What hours and days of the week are you interested in working? (ex: Mondays, Tuesdays / 8am to 6 pm) *

Please describe what your hope is to get out of your internship experience? (What do you want to learn or accomplish?) *

Why are you interested in interning at TSC? (Tell us why TSC and not another place?) *

Please check all of the following skills you have below: *

Intermediate-level use of Canva to make social media post

Confidence in using Google (excel, google docs and other google)

Confidence posting on the following social media platforms: Instagram, facebook, youtube

Marketing campaigns exprience

Customer Service experience

Community outreach experience

Required

Please summarize work experience or higher-level education experience you have that applies or relates to the internship position. [Example: I have 4 years customer service experience at a call center. This experience has allowed me to build confidence in speaking with customers and problem solving with costumers quickly and efficiently.] *

If you are a masters level counseling student please check all that apply on your interest in populations you would like to serve. (If you are not a masters level counseling student please select NA.) *

NA: I am not a masters level counseling student

Children (5-17 years old)

Family Counseling

Women

Men

Couples

BIPOC populations

Other:

Required

What other languages do you speak and how fluent are you in that language? (ie: I speak Spanish conversationally but can not write in Spanish) *

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