Mino-bimose’idiwag Interest Questionnaire
If you are interested in our programs, please complete this questionnaire to the best of your ability.  This will assist us in evaluating your specific interest, experience, and goals. We will then contact you about how you could best fit in with the Mino-bimose'idiwag (Walking the Path Together) program.  
Sign in to Google to save your progress. Learn more
Name *
First and last name
Email *
Phone Number
Age *
Do you identify as Native American, American Indian, or Alaskan Native? *
Tribal affiliation (if applicable)
What is your highest level of education?
What college or university do you attend (If you are not currently enrolled, where did you most recently attend)? *
Major and Minor/ Area of study (if applicable) *
Do you plan to enroll in classes in the upcoming semester?
Clear selection
Would you like this internship to be your BSW or MSW Field Placement? *
Year *
Expected date of graduation
Do you have reliable transportation? *
Which region would you prefer to intern in? *
What is your knowledge level of victim services, and do you have any previous professional experiences? *
Describe your academic, professional, or personal experiences with Native American culture. *
Which courses have you taken that are relevant to Native American studies or culture? *
Why do you want to work with Indigenous communities? *
Are you considering a career working in Tribal victim services? *
Would you like us to contact you regarding applying for financial aid, tuition assistance, enrollment in course or navigating barriers to completion of this or other college courses? *
How did you hear about our program?
Any additional comments
Miigwetch! (Thank you!)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside Northern Michigan University. Report Abuse
Google Forms