Internship Application - HS & College Students

Name
First Last
Date
Date Format: MM slash DD slash YYYY
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Consent*
If accepted for this internship, I agree to strictly follow all office privacy policies. I understand that failure to do so will result in immediate termination from the internship.
I am applying for the*
- Summer 2022 Internship (The application processed is closed this summer)
- 2022-2023 School year Internship
- Summer 2023 Internship
During the internship timeframe I will be*
- a HS senior on a half day schedule
- A HS senior on a full day schedule (or more than 1/2 day)
- A HS recent graduate
- A college student in summer break
- A college student taking classes
Qualifications*
Tell us about what course work, volunteer work, paid jobs, and personal experiences make you a competitive applicant for this internship.
Motivational Statement*
Let us know why you are interested in this internship, including how you think you might be able to contribute to assist in our mission and how you believe this experience might help you to meet your academic and professional goals.
Would you like to send us a traditional resume package with your application?
- Yes, Please
- No thank you. This application is complete.
If you would prefer to add a traditional resume and cover letter with your application (optional), please email your materials to Ms. Petra Desmond at PDesmond@KentlandsPsychotherapy.com

Internship Application – HS & College Students