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.)

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

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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.