Butte County Department of Behavioral Health Internship Application

Name *

Mailing Address *

Suite or Apt

City *

State *

Zip Code *

Email Address *

Phone Number *

Name *

Mailing Address

Suite or Apt #

City

State

Zip Code

Email Address *

Phone Number *

Clinical (Counseling, Case Management, Direct Client Care, Substance Use Disorder, Crisis Services, etc.)

Non-Clinical (Administrative Functions)

17% of survey complete.