Counseling Student Intern Application

Thank you for your interest in our counseling internship program! We are a faith-based practice committed to providing compassionate and ethical care. One of the purposes of our internship program is to invest in and mentor future clinicians with the hope of potentially bringing interns on as clinicians after graduation, if it is a good mutual fit. Please complete the application below.

Email address

Phone Number

Full Name

University/College

Degree Program

Expected Graduation Date

Total Practicum/Internship Hours Required

Availability (check all that apply)

Mondays (evenings)

Tuesdays (evenings)

Wednesdays (evenings)

Thursdays

Fridays

Weekends

What draws you to a faith-based counseling practice?

What populations and concerns are you most interested in working with?

What is your relevant experience (Prior jobs, mentoring, helping roles)?

What are your professional goals following graduation?

Do you anticipate seeking employment in a group practice or similar setting after graduation? Please share your plans:

Would you be open to exploring potential post-graduation employment with Carolina Counseling if the internship is a strong mutual fit?

Yes

Possibly

Not at this time

Reference - Name, Email/Phone, Relationship

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