Internship Application

Personal Information

First Name *

Middle Initial *

Last Name *

Pronouns

Birthdate (mm/dd/yyyy) *

Other Last Names Used (If Any)

Race

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino/a/x

Native Hawaiian or Other Pacific Islander

White

Other

Prefer not to answer

Address *

Email *

College/University

Personal Phone Number *

General Information

Anticipated Start Date

Anticipated End Date

What are the requirements for your internship opportunity? (amount of hours per week/ internship, specific learning objectives, etc.)

What is your availability? (days of the week and times available for internship)

Why do you want to support Waypoint?

How did you hear about Waypoint?

Do you have reliable transportation to get to and from your internship? Note: All internships will be on-site.

Yes

No

Do you have any specific skills or abilities you believe could benefit Waypoint?

Upload Your Resume *

Drag 'n Drop your files here!

I want to intern for (Check all that apply):

Administrative

Resource Development & Marketing- Support fundraising and outreach by assisting with social media campaigns, event preparation, and marketing efforts

Critical Services

Domestic Violence Victim Services Program- Provide advocacy through shadowing trained advocates and learn to empower victims

Survivors' Program- Assist in advocacy through shadowing trained advocates and support families navigating the criminal justice system

KidsPoint Childcare

Classroom Aide- Assist in classrooms with educational activities for children ages 6 weeks-12 years

Background Check

It is the policy of Waypoint to provide a safe environment for clients, staff, and volunteers. For this reason, we require a background check for all volunteers.*

Have you ever been convicted of a crime, other than a minor traffic offense? *

Yes

No

Have you ever been involved in an investigation involving child/adult abuse or assault? *

Yes

No

Have you been a Waypoint client within the past 12 months? *

Yes

No

If you answered yes to any of the above questions, please explain: *

*Please note: any criminal charges will not automatically disqualify you from volunteering, but will require further conversation.

Signature *

Clear

Date *

Emergency Contact Information

In case of emergency, Waypoint should contact:

Name *

Relationship

Phone Number *

Alternate Phone Number

Any medical information we should be aware of?

Already verified you are human.