Internship Interest Questionnaire
We are so excited to get to know you and to learn about your internship!

PLEASE READ the information in this section to better understand if this is the right opportunity for you.

1. We recommend that students complete this form 3-6 months prior to internship starting.
2. Lifeline has a limited number of internships open for students each year. Our program is highly competitive.
3. One of our goals for the internship program is to retain Masters level students as therapists post-graduation. While moving into a therapist position is not guaranteed, it is common. If you cannot see yourself remaining with Lifeline after graduation, this may not be the best fit for your needs.
4. Paid internships are limited. The majority of our internships are unpaid, with the possibility of being hired at the end of internship.
5. Unpaid interns do receive mileage, training opportunities, can receive referral bonuses, and if hired on, can receive a sizeable bonus after staying on as an employee for 12 months and meeting work expectations.

Please review these documents related to the internship before proceeding: https://drive.google.com/drive/folders/1Tq582zx8a9_gt0RQGda983WY5FJtqcH_?usp=sharing


If this seems like a good fit for you, Please complete this questionnaire so we can better know how we can assist you.

If you are NOT a current employee: After completing this form, please send your resume to careertrack@lastingchangeinc.org and download our school reference form here: https://drive.google.com/file/d/1XWLSDtIanQxZzEzTABRIaF149L75EFcV/view?usp=sharing These items must be received in order to make a decision about an internship.

Note: If you are looking for employment only and not an internship, please check our careers page for open opportunities! http://www.lifelineyouth.org/careers.html
Email *
Today's Date *
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First & Last Name *
Street Address including your CITY/STATE *
How did you learn about our organization?
Clear selection
What is your current education status? *
Required
Which college/university are currently attending or planning to attend? *
Is this school online or in person?
Clear selection
What is your degree program? *
How many credits is your program? *
If you are a MSW degree candidate, please check which track applies:
When is your expected graduation date? *
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How many internships are needed for your program? *
Are you seeking placement for your general practicum or final clinical internship? *
When is the anticipated start date(s) for your internship/practicum(s)? *
How many internship hours are required to complete your internship/practicum(s)? *
How long are you internship/practicum(s)? (i.e. 6 months)
Are there any special requirements for your internship(s)?
Please expound on any special requirements noted above.
Are you seeking regular employment? *
If seeking employment, when are you available to start? *
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What are your career goals after graduation? *
Are you 21 years of age or older? *
Please note: Interns are not permitted to work on therapy referrals. Students must work in the context of clinical case management, case management and visitation during the duration of their internship. Students have the ability in their internship role to create a robust internship experience practicing clinical skills including assessment with evidenced based tools, engagement, rapport building, treatment planning, evidence based intervention and evaluation of services. Students are able to work with their internship field instructor to choose specific modalities, techniques and interventions that they will use with a client. We find that Masters level students working with us commonly practice and gain skills in aspects of CBT, Motivational Interviewing, Seeking Safety, Mindfulness & Emotional Intelligence in addition to other frameworks. *
Required
I have read the documents on internship linked at the top of this form. *
Required
Please send your resume to CareerTrack@lastingchangeinc.org.
Thank you for your interest in Lifeline Youth & Family Services! An Internship Administrator will review your responses to the questionnaire and respond within 7 - 10 business days.
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