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Student Internship Program

Parents Inc. of New Jersey accepts students from local colleges and universities. Students have the opportunity to experience the workings of a community-based agency. They reap the benefits of volunteerism while receiving valuable on-the-job training in a forefront agency and possible credit(s) toward graduation.

Student Internship Program Application

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Name

First

Last

College/University

Community Agency (if applicable)

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Daytime Phone #

Evening Phone #

Date of Birth

Inc. Signature Social

Number of Children (if any)

Ages

In Case of Emergency, notify (Name, phone number, relationship)

Highest Level of Education Attained

Do you need a supervisor who has a Social Work degree (BSW or MSW)?

How many hours do you need?

Other Training(s)

Foreign Languages

Language

Fluency

Speak
Read
Write

Group Affiliations

Previous Volunteer Experience

Any Physical Limitations?

Where did you learn about Parents Inc. of New Jersey?

Expectations

This section is designed to help clarify your attitudes toward parents with anger and control problems, and your expectations concerning your involvement in Parents Inc. of New Jersey. Your attitudes and expectations will influence your attitude toward your experience here.

Do you have a history of child abuse, neglect, or trauma?

I would like the following issues addressed during training:

As a Parents Inc. volunteer, I may experience the following difficulties:

References

Please provide us with the name, address, and phone number of three people we can contact as references. NO RELATIVES, PLEASE.

Name

Address

Daytime Phone #

Name

Address

Daytime Phone #

Name

Address

Daytime Phone #

As a Volunteer for Parents Inc. of New Jersey, I Pledge to:

1. Attend orientation and at least one quarterly meeting each year.

2. Be available for telephone contact with Parents Inc. group members and other public and/or professional individuals as needed.

3. Make a minimum of a one-year commitment to the Parents Inc. group.

4. Give Parents Inc. of New Jersey at least one month’s notice if I am unable to continue volunteering.

5. Be subject to a reference/background check.

Signature

Clear Signature

Date