Behavioral Health Intern Application

If you have any questions, please contact:

Matt McNall
Behavioral Health Internship Coordinator
Email: MattM@atlanticstreet.org | P: (206)-502-6893

Name(Required)

First Last

Phone(Required)

Email(Required)

Enter an email address you will check over the summer

Address(Required)

Street Address Address Line 2 City State ZIP Code

University/Grad Program Information

Name of University/Grad Program you are attending/Pursued Degree(Required)

Expected Date of Completion

Proposed Start Date of Practicum/Internship

Proposed End Date of Practicum/Internship

This program requires the use of a personal vehicle (mileage reimbursed) to drive to see participants in homes, schools, and other sites in the community. Can you commit to this?(Required)

Yes

This program requires a 24 hour-week for 9 months minimum commitment. Can you commit to this?(Required)

Yes

Please describe why you are interested in pursuing Atlantic Street Center for your internship/practicum.(Required)

Please describe your goals for your intership/practicum.(Required)

Please describe any previous or current experience(s) working/volunteer with children, adolescents and families and any other relevant experience you may have.(Required)

Please describe any previous or current experience(s) working/volunteering with communities of color, primarily Black and African American populations.(Required)

This internship requires interns to meet with participants, maintain accurate and timely documentation, communicate with supervisor and program manager, and to meet deadlines. Is this something you believe you can commit to? What areas might you need help to meet these requirements?(Required)

Is there anything that you believe is important for us to know in our consideration of your application?

Upload Resume(Required)

Max. file size: 512 MB.

Upload Cover Letter

Max. file size: 512 MB.