150 Furnace Street | Akron | OH | 44304

330.376.0040

Serving Summit County

www.victimassistanceprogram.org

Internship Application

Please complete the following application

and include with a cover letter, resume and two references.

Please send via e-mail to Dana Zedak, or mail to the above location.

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personal information

Name: / Date:
Address: City: State: Zip:
Preferred Phone: / E-mail:
Are you over the age of 18? / Referred by:

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educational requirements

College enrolled in: / Degree: BA MA PhD / Major:
What is the name of your faculty liaison? / Are there any field instructor requirements?
How many hours are you required to complete to fulfill your internship?
How many semesters will it take to complete? / How many hours per week?
When is your expected start date? / When is your expected end date?

Internship Application

Continued…

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internship expectations

Why are you interested in interning at Victim Assistance?

What areas of our program would you feel comfortable in (please check all that apply):

Please visit our website for details about these areas:

Court advocacy (Akron) Crisis intervention on the hotline

Court advocacy (Barberton) Police report follow up

Court advocacy (Stow) Death notification

Research for grants & community programs

Crime scene response Fundraising / Event planning

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internship requirements

Please check each box to acknowledge your understanding:

I understand Victim Assistance Program will conduct a background check to determine if

a conflict of interest exists which would prevent me from interning with the agency.

I understand that I may be reading about, hearing about and seeing disturbing sights

and/or stories about traumatic events and crime victimizations.

I understand that I must undergo intensive crisis intervention training before I will be

permitted to work with a victim.

I understand that I may not be able to gain experience in all of the above areas provided

by the agency however the agency will make an attempt to try if I am interested in helping.

I understand much of the learning process will continue throughout my internship

experience and will require patience and creativity in order to provide empathetic,

confidential, nonjudgmental services to individuals from a variety of backgrounds.

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Approved LG 7.21.15