Internship/Practicum Application

Have you experienced a major loss (death or divorce) within the last the years?*

Yes
No

When was the loss and when did it occur?

What would you say is the biggest loss you have experienced in your life?*

How many hours does your internship or practicum require for completion?*

We require all incoming interns and practicum students to complete at least 100 hours at Calm Waters.

Are you comfortable completing tasks that are not programs related? (i.e. events and other administrative tasks)*

Reference #1 Information

Reference #1 Full Name*

Reference #1 Phone Number*

Reference #1 Address

Reference #1 City / State / Zip

Reference #2 Information

Reference #2 Full Name*

Reference #2 Phone Number*

Reference #2 Address

Reference #2 City / State / Zip

Volunteer Facilitator Questions

Interns and Practicum Students are asked to facilitate groups, both Center-based and School-based, during their internship. Each Intern/Practicum volunteer is asked to facilitate a group for a minimum of six months. Groups are held on Mondays, 6 – 7:30 p.m. and Thursdays, 6:30 – 7:30 p.m.

Please indicate which support group you are interested in facilitating:*

Select All
Grief Group - Mondays
Divorce Group - Thursdays
Administrative Volunteer (in office)
school-based support group facilitator (Assorted Weekdays)

Volunteer Skills & Talents

Please check all that apply to you.

*

Just a couple more things...

How did you hear about Calm Waters?*

What is your t-shirt size?*

Calm Waters t-shirts are distributed once volunteer training is completed.

Internship/Practicum Application

Calm Waters Internship/Practicum Application

Step 1 of 2

Personal Information

Criminal History

What connects you to our mission?

Reference #1 Information

Reference #2 Information

Volunteer Facilitator Questions

Volunteer Skills & Talents

Just a couple more things...

CW Location Info

Who We Are

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Volunteer Opportunities

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