Internship Application - Hometown Counseling
This application reflects your interest in an unpaid clinical internship with Hometown Counseling.  In addition to educational credit, interns are provided supervision, direct client care experiences, case consultations, training opportunities, and a supportive, dynamic work environment.

This application does not guarantee an internship position with Hometown Counseling. As the practice has grown, internships have become more competitive. This application will be kept on file and should we have a position that meets your needs, we will contact you to further discuss your interest. Should you have any additional questions or comments at this point, you can email us at
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Phone Number
Physical Address (where you live)
Which university are you currently attending?
What program are you in?
Anticipated Graduation Date
Desired Start Date
Are you interested in a part time or full time internship?
Clear selection
What days of the week are you (potentially) able to work at Hometown?
Which populations do you want to work with?
What clinical concerns would you like to work with?
I understand that Hometown Counseling actively works to be an anti-racist and LGBTQI+ affirming practice. I would continue to uphold the practice's values by supporting and uplifting these populations and continually growing to meet the needs of our community.
What interests you in working at Hometown Counseling?
Anything you'd like to add about yourself or your goals?
Any questions or concerns?
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