Spring 2017 Internship Application
Due: January 9th, 2017
Please email this file, along with your CV/Resume, to program assistant Beth Ann Hamilton at
[email protected].
Applicants must be legally eligible to work in the USA.
Please indicate which internship positions you
are applying for. Note: If you feel you may be
qualified for and are interested in more than 1
internship position, feel free to check more than
one box.
Project VOICE Intern
Evaluation Intern
SMART Program Intern
RADAR Intern
General Information
Date
Name
Email
Phone
Current Address
Education
Current Student?
University
Degree Program
Graduation Year
GPA
Previous Education
University
Degree Program
Graduation Year
Year of
Graduation
[Last revised on 12/8/16]
Availability
If you are an NU undergrad and federal
work study student, you may qualify for
work-study. Would this internship qualify
for work study?
Are you pursuing this internship for
academic credit?
How many hours per week can you
commit?
Internships are typically completed within
normal work hours (Monday – Friday,
9am to 6pm). Please describe your
possible availability (i.e., From June to
Decemeber, I will only be available on
Mondays and Fridays after noon. Beginning
in February I am available Wed and Fri
afternoons.):
Approximately which dates can you
commit to interning with our program
(i.e., June to December)?
Open-Ended
Why are you interested in working with ISGMH?
What do you see as your greatest strengths?
Is there anything else we should we know?
It’s important for us to understand what skills and interests you’re bringing with you, so
you can have the best internship experience and we can make the best use of your skills!
Please briefly describe your skills and experiences.
Do you have any experience or training with the following…?
[Last revised on 12/8/16]
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
WordPress or other web content
management systems
Briefly explain:
YES
NO
YES
NO
Filmmaking, editing, working with video
software?
Briefly explain:
YES
NO
YES
NO
Online marketing (e.g., Google AdWords,
search engine optimization, fundraising)?
YES
NO
Conducting literature reviews
Briefly explain:
Writing publications
Briefly explain:
Grant writing
Briefly explain:
Statistics training
Briefly explain:
Quantitative analysis using any programs like
SPSS, SAS, MPLUS, HLM, R, Etc.
Briefly explain:
LGBTQ populations
Briefly explain:
Other minority or at risk populations
Briefly explain:
Children, adolescents, couples, or families
Briefly explain:
Do you have clinical training?
Briefly explain:
Conducting or coding qualitative interviews
Briefly explain:
Journalism or blogging?
Briefly explain:
Coordinating social media campaigns (e.g.,
Twitter, Tumblr, Instagram, Facebook)?
Briefly explain:
[Last revised on 12/8/16]
Briefly explain:
Graphic design or presentation software (e.g.,
Adobe Photoshop, InDesign, Illustrator, Prezi)
Briefly explain:
YES
NO
How did you hear of ISGMH’s internship opportunities?
Thank you!
Once we review all applications, we will be in touch.
[Last revised on 12/8/16]