Internships

Contact Information

Name*

Date of Birth*

Address*

Email*

Phone **

Preferred Contact Method:*

Name*

Emergency Contact Relationship **

Address*

Phone **

Start Date*

End Date*

How did you hear about People’s Self-Help Housing?*

Are there any skills or interests you would like to develop?*

Are you a PSHH resident?*

If yes, which property?

What counties are you interested in interning?*

Languages spoken other than English

Internship Opportunities:*

Other:

Availability*

# of Hours Per Day*

Newsletter

I agree to serve as an intern and commit to the following:*

Select All
To perform my internship duties to the best of my ability and to respect those we serve.
To adhere to PSHH rules and procedures, including record keeping requirements and confidentiality of agency and client information.
To meet time and duty commitment, or to provide adequate notice so that alternate arrangements can be made.
To maintain open communication with my supervisor or volunteer coordinator regarding any issues or concerns.

Untitled*

I, the intern, being legally competent, hereby release People’s Self-Help Housing, and any and all of its agents, officers, directors, and employees from any and all claims or liabilities which might arise out of the my participation as an intern with PSHH

eSignature:*