Intern Intake
Thank you for your interest in joining PDX Alliance for Self-Care's internship program. Please let us know which of the following skills/interests you possess and how you can impact our organization.
Name
Your answer
Pronouns
They/Them
She/Her
He/Him
All Pronouns
Other:
Email address
Your answer
Phone number
Your answer
College or University
Lewis & Clark
PCC
PSU
Reed College
University of Oregon
University of Portland
Other:
Skills
Self-determined
Ability to collaborate as part of a team or collective vision
Ability to work independently
Ability to work remotely
Critical analysis
Problem solving
Leadership experience or interest
Passion for social justice issues
Experience in community-based activism/organizing
Interest in community-based activism/organizing
Experience working for disability rights or disability justice
Interest in disability rights or disability justice
Experience in event planning or project management
Interest in event planning or project management
Experience working with youths
Interest in working with youths
Excellent writing skills
Grant writing interest
Grant writing experience
Accounting or bookkeeping knowledge/experience or just "good with numbers"
Ability to translate creative vision into technical reality
Tech savvy
Advanced tech skills
Coding
Advanced coding
Platform analysis
Web hosting
Other:
Please describe any relevant nonprofit or other work experience:
Your answer
Are you low on relevant skills or experience but high on enthusiasm/passion? What intangibles will you bring to PDX ASC?
Your answer
What is your major or area of interest?
Your answer
Do you have a minor or secondary area of interest?
Your answer
How would you take the skills you learn during this internship and share them with your community?
Your answer
Project Management Interests
Most Interest
4
3
2
Least Interest
Design Databases
Design Website Pages
Expand Organizational Capacity & Outreach
Innovate At-Risk Youth Outreach Programs
Event Planning & Project Management
Self-Design Relevant Project
Donor Relations
Volunteer Education & Relations
Grant Writing
Leadership Development
Most Interest
4
3
2
Least Interest
Design Databases
Design Website Pages
Expand Organizational Capacity & Outreach
Innovate At-Risk Youth Outreach Programs
Event Planning & Project Management
Self-Design Relevant Project
Donor Relations
Volunteer Education & Relations
Grant Writing
Leadership Development
Briefly share your thoughts on the phrase: "All Lives Matter"
Your answer
Briefly share your thoughts on the phrase: "Black Lives Matter"
Your answer
Can someone be racist toward a white person?
Your answer
How many genders are there?
Your answer
Will you do this internship for credit?
Yes
No
Not sure
Other:
How many hours per week are you available?
3-5
6-10
11-15
16-20
21-25
26-30
31-35
36-40
What days are you available to work?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many terms would you like your internship to last?
1
2
3
Full year
Summer
When would you like your internship to commence?
Fall Term (August/September)
Fall Semester (August/September)
Winter Term (January)
Spring Semester (January)
Spring Term (March/April)
Summer Term (May/June)
Other:
Emailed to
Tamia@pdxasc.org
or submitted via Handshake
Cover Letter
Resume or Work Experience
Transcript
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