CWS Harrisonburg: Internship Application
General Information
First Name
Last Name
Email
Phone
Birthdate
Example: 01/01/1950
Home Address
Street
City
State
Please select...
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Education and Experience
Education
Major, minor, year of graduation
Share the reason for your interest in completing an internship with CWS. If this fulfills a requirement for your major or minor, please include that information.
If applicable, include class information, name of professor, number of required hours, etc.
Tell us a little bit about your skills and interests so that we can match you to the most appropriate internship assignment.
Do you speak any languages other than English?
Yes
No
Foreign language ability is not required for most internship positions.
Please list them and describe your level of proficiency.
Describe any any work, volunteer, or academic experience you have that is relevant to this internship?
This includes (but is not limited to) any kind of teaching, tutoring, or work with a diverse population.
What do you think will be your biggest challenge during this internship?
What experiences and goals you would like to gain from an internship at CWS?
Availability and Transportation
Are you applying for a Fall, Spring or Summer internship?
Please indicate which months you will be available.
Your availability within CWS office hours (M-F, 8:30 a.m. to 4:30 p.m.)
Internship positions can vary from 16-30 hours per week. Be as specific as possible on your availability.
Do you have your own transportation and auto insurance, and are you willing to transport our clients if needed?
Yes
No
Maybe
Not all internship positions require transportation for clients.
Internship Positions
Which of the following activities are you interested in and available for?
Case Management (deliver core services to clients, assist with transportation, conduct home visits, case filing)
Immigration Services (complete non-complicated immigration forms, assist with initial intake, conduct research)
Intensive Case Management/Community Programs
Refugee Health and Outreach (assist with ongoing, or new health outreach project, women's health seminar, transportation to medical appts)
Community Engagement (social media, assist with events, creating media content.)
Housing (assist with rental applications, water, electric, and gas accounts, housing cultural orientation)
Home Study & Post Release Services Intern (assist with provision of services to unaccompanied children)
Operations/Admin (provide administrative and operational support to the Harrisonburg office)
Background Screening and Consent
Do you understand that you must pass a criminal background check and possibly a motor vehicle clearance to intern with CWS?
Yes
No
A fee of $36 is charged for every person for background screening. Would you be willing to pay for the cost of your own background check?
Yes
No
Signature
Date
Example: 01/01/1950
