The Methodist Home for Children and Youth Internship Application

Question Title

* 1. Basic Information

First Name

Last Name

Telephone #

E-mail

Street Address

City

State

Zip Code

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* 2. Are you related to someone who is or has been employed, interned, or volunteered at The Methodist Home?

Yes

If yes, please specify.

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* 3. Referring College/Univerisity

Mercer University

Georgia College and State University

Wesleyan College

Middle Georgia State University

Valdosta State University

Georgia Southwestern University

Columbus State University

Other (please specify)

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* 4. How did you hear about this internship?

Professor

College Job/Internship Fair

College Employment/Internship Website

Word of Mouth

Other (please specify)

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* 5. Concentration Area of Internship/Major
*NOTE: We DO NOT always have the capacity for varying distinct clinical disciplines.

Psychology

Criminal Justice

Education

Sociology

Computer Science

Marriage and Family Therapy

Human Resources

Administration

Marketing/Public Relations

Social Work

Information Technology (IT)

Clinical Mental Health

Other (please specify)

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* 6. Will you be enrolled in an internship/practicum/field experience course at an accredited institution during your expected internship?

Yes

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* 7. Degree Type

Associates

Bachelors

Masters (additional documentation required)

PhD (additional documentation required)

Question Title

* 1. Basic Information

Question Title

* 2. Are you related to someone who is or has been employed, interned, or volunteered at The Methodist Home?

Question Title

* 3. Referring College/Univerisity

Question Title

* 4. How did you hear about this internship?

Question Title

* 5. Concentration Area of Internship/Major*NOTE: We DO NOT always have the capacity for varying distinct clinical disciplines.

Question Title

* 6. Will you be enrolled in an internship/practicum/field experience course at an accredited institution during your expected internship?

Question Title

* 7. Degree Type

* 5. Concentration Area of Internship/Major
*NOTE: We DO NOT always have the capacity for varying distinct clinical disciplines.