Intern Application

Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone Number*
Email*
College/University
College/University Attending*
Graduation Date*
Major*
Bridging Hope interns must be a minimum age of 18. Are you at least 18 years of age?*
- Yes
- No
When does your internship begin?*
When does your internship end?*
How many hours does your internship require?*
What days/times will you be available?*
Who is your supervisor?*
Why do you want to intern with Bridging Hope?*
This internship requires availability for periodic nights or weekends for on-call, direct service or business-related duties. Do you agree to this availability?*
- Yes
- No
Have you ever been convicted of a crime?*
- Yes
- No
If Yes, please explain. A criminal background check is required for all volunteers and interns.

References: Please list three references, with a minimum of two professional references:
Previous Internship/Work Reference*
Name Position
Company
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Previous Internship/Work Reference*
Name Position
Company
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Personal Reference*
Name Position
Company
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
List other volunteer experience: (see also Personal Reference Section, Part B)*
List any special skills, educational or paid work experience you have that you feel would help you in working with Bridging Hope:*
How did you learn about volunteer opportunities with Bridging Hope?*
- Social Media
- Referral from a friend
- Poster
- Google Search
- Volunteer Match
- Referral from Professor
- Other
Have you ever done crisis intervention work before?*
If yes, what type?
Do you speak a language other than English fluently?
If yes, which language(s)?
Have you had any negative experiences with law enforcement?*
If yes, explain.
Have you had any negative experiences with the judicial system?*
If yes, explain.
Do you know anyone currently involved in Bridging Hope?

Work History: List your work experience for the past five years OR upload a resume at the bottom of the page. "See resume" notation does not apply if resume does not exhibit all information in this section of the internship application.
Please check if you do not want us to contact your current employer and current supervisor. If currently employed, please write "CURRENTLY EMPLOYED" in the "Reason for Leaving," area for that employer.*
- You may contact my current employer
- You may NOT contact my current employer
Name of Employer/Internship
Name Position
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Name of Employer/Internship
Name Position
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Reason for Leaving
Name of Employer/Internship
Name Position
Company
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Reason for Leaving
Name of Employer/Internship
Name Position
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Reason for Leaving
Please upload a resume here OR fill out the information above.
Max. file size: 50 MB.

College/University

Name	Position

Name	Position

Name	Position

Name	Position