WSU Community Advocacy Project Internship Application
Email address *
Full Name (First, Middle, Last) *
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Mailing Address *
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Phone Number *
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Birthdate *
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Attending University/Institution *
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Area of Study *
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Degree Expected *
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Expected Graduation Date *
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Additional Languages Spoken *
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American Citizen? *
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Have you ever been convicted of a felony? *
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As a CAP candidate you will be required to submit to a background check before selection is made.
Briefly tell why you are interested in a CAP Internship *
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Please list any experience, training or skills that you would like to include for consideration of the CAP Internship *
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Wayne State University is committed to a policy of non-discrimination and equal opportunity in all of its operations, employment opportunities, educational programs, and related activities. This policy embraces all persons regardless of race, color, sex (including gender identity), national origin, religion, age, sexual orientation, familial status, marital status, height, weight, disability, or veteran status, and expressly forbids sexual harassment and discrimination in hiring, terms of employment, tenure, promotion, placement and discharge of employees, admission, training and treatment of students, extra-curricular activities, the use of University services, facilities, and the awarding of contracts.
How did you hear about WSU CAP? *
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Are you applying for a CAP Internship beginning *
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Please identify which days of the week you are available, also indicate preference to AM or PM. CAP requires a commitment of 14-weeks and 16-hours weekly. *
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Tuesday
Wednesday
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Friday
CAP does not require Interns to log weekend hours with survivors, however you may be asked to come in on a Saturday for training. Would you be able to participate? *
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On what date can you start your internship? *
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Preferred Contact *
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Will you require any accommodation during this Internship?
Please indicate what accommodation you will need.
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Are you currently a licensed driver? *
Are you currently insured? *
(You will be asked to show proof of both documents)
Emergency Contact Information
First and Last Name *
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Relationship *
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Phone Number *
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Type your name here to sign electronically:
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Date of signing *
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A copy of your responses will be emailed to the address you provided.
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