Internship Application"*" indicates required fieldsInternship Application RequirementsYou must submit this application no later than 3 months before your intended start date. Please make sure you have reviewed the sample internship description on our website. This application is intended only for undergraduate internships. (Students are required to make sure the duties of the proposed internship satisfy the school requirements.)Contact InformationYour Name* First Last Your Email Address* Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Your Phone*Best Time To Call YouWhen is the best time for us to reach you via telephone?MorningsEarly AfternoonLate AfternoonEarly EveningEducationHow did you hear about The Women’s Center?*Why are you interested in an internship at The Women’s Center?*Internship InformationSchool Name*Program of Study*Advisor Name* First Last Advisor TitleAdvisor Phone*Advisor Email* Length of Internship (We require a minimum commitment of two semesters)*What is the total time needed? Semester(s), Months, HoursWhat semester or term are you applying for? (Select all that apply)* Fall Winter Spring Summer OtherInternship Start Date What are the school and/or program reporting requirements?* Midterm Final Monthly OtherSchedule*Please give the exact hours for each day that you are available (e.g. 1 PM-6 PM on Monday). Our shifts are a minimum of 4 hours in length.MondayTuesdayWednesdayThursdayFridaySaturday Add RemoveExperience & Personal BackgroundUpload Your Resume*Please attach your current resume in .pdf, .doc or .docx format.Accepted file types: pdf, doc, docx, Max. file size: 25 MB.Course Requirements*Please attach your course requirements in .pdf, .doc or .docx format.Accepted file types: pdf, doc, docx, Max. file size: 25 MB.Are you multilingual? If so, what language(s) do you speak fluently? Add RemoveOther relevant skills:Personal Driving RecordInterns may periodically be asked to transport donations.Do you have a valid Driver’s License?* Yes NoDo you have a vehicle?* Yes NoTo fulfill Wisconsin's car insurance laws, you must have the following coverage types:Liability, Uninsured motorist, Underinsured motorist.Emergency InformationIn case of emergency, please list at least two people that someone can contact should the need arise.Emergency Contact 1:* First Last Relationship*Phone*Emergency Contact 2:* First Last Relationship*Phone*Internship Agreement* I certify that the statements herein are correct and true to the best of my knowledge. I understand that, if offered an internship, falsified statement(s) on this application shall be considered cause for dismissal.Internship Agreement* I also confirm that I am not and have not been a client of The Women’s Center at any time during the last 5 years.Note: all interns are required to complete Advocate Training, a 20-hour series of workshops providing an in-depth look at these issues and the philosophies of The Women’s Center in working with survivors of interpersonal violence.The Women’s Center accepts volunteer applications throughout the year. Internship applications are due on the dates listed on page 1. The Women’s Center reserves the right to make decisions regarding internships on a case-by-case basis and may also decline an internship application or terminate an internship. Completion of this form does not guarantee placement as an intern at The Women’s Center, and internship placement is at the sole discretion of the agency. To maintain a safe environment for our clients, employees, and volunteers, The Women’s Center conducts Caregiver and Criminal background checks, including fingerprinting checks for internships. Thank you for your interest in The Women’s Center and our mission!
