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HELP FOR CHILDREN
HELP FOR PETS
CLIENT RESOURCES
CLIENT RESOURCES
MEDICAL RESOURCES
LEGAL RESOURCES
SPIRITUAL CARE
HOLISTIC HEALING ONLINE
DATE SAFER & SMARTER
BROWSER SAFETY
DIGITAL SAFETY
GET INVOLVED
VOLUNTEER
INTERNSHIPS
WHAT WE NEED
MORE WAYS TO HELP
JOBS
SPECIAL PROGRAMS
CAMP HOPE
LEGAL NETWORK
VOICES
SYMBOLS OF HOPE
PORTRAITS OF COURAGE
SURVIVOR STORY BANK
ANIMAL ADVOCACY PROGRAM
ABOUT
ABOUT US
IMPACT
OUR LEADERSHIP AND PARTNERS
FREQUENTLY ASKED QUESTIONS
VISIT PALOMAR
WHAT PEOPLE ARE SAYING
CONTACT US
NEWS
FOR TEENS
TEEN BOARD
GET HELP
CLASSES & EVENTS
EN ESPAÑOL
GET HELP
WHAT TO EXPECT
OUR SERVICES
HELPING LOVED ONES
HELPING A COWORKER
HELP FOR OFFENDERS
HELP FOR CHILDREN
HELP FOR PETS
CLIENT RESOURCES
CLIENT RESOURCES
MEDICAL RESOURCES
LEGAL RESOURCES
SPIRITUAL CARE
HOLISTIC HEALING ONLINE
DATE SAFER & SMARTER
BROWSER SAFETY
DIGITAL SAFETY
GET INVOLVED
VOLUNTEER
INTERNSHIPS
WHAT WE NEED
MORE WAYS TO HELP
JOBS
SPECIAL PROGRAMS
CAMP HOPE
LEGAL NETWORK
VOICES
SYMBOLS OF HOPE
PORTRAITS OF COURAGE
SURVIVOR STORY BANK
ANIMAL ADVOCACY PROGRAM
ABOUT
ABOUT US
IMPACT
OUR LEADERSHIP AND PARTNERS
FREQUENTLY ASKED QUESTIONS
VISIT PALOMAR
WHAT PEOPLE ARE SAYING
CONTACT US
NEWS
FOR TEENS
TEEN BOARD
GET HELP
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EN ESPAÑOL
Intern Application
Step 1 of 6
16%
Contact Information
First Name
*
Middle Name
Last Name
*
Alias or Maiden Name
Prefer to be Called
Date of Birth
*
Date Format: MM slash DD slash YYYY
Race/Ethnicity
Gender
Pronouns
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone
*
Email
*
How can we find you on Facebook?
What's your twitter handle?
And what's your instagram account name?
University / School Affiliation
*
Degree Seeking
*
Bachelor's
Master's
Doctoral
Projected Graduation Date
Date Format: MM slash DD slash YYYY
Major or Area of Study
*
Type of Internship Desired
Field Study
Practicum
Internship
Other
Total Number of Internship Hours Needed
*
Ideal Start Date
*
Date Format: MM slash DD slash YYYY
Ideal Completion Date
*
Date Format: MM slash DD slash YYYY
Required Internship Completion Date
Date Format: MM slash DD slash YYYY
Date Practicum Site must be submitted to your school
Date Format: MM slash DD slash YYYY
Supervision Requirements / Supervisor Certifications Required
*
Experience
Current Occupation (job title)
Name of Business
Educational Background
*
Current or previous major areas of study:
Do you have any training and/or experiences (personal or professional) that would make you well suited to intern at Palomar?
Please describe.
Do you speak a language other than English?
Yes
No
Please list languages and proficiency for any languages you speak in addition to English.
Please check any additional skills or interests you have that would benefit Palomar:
Literature Development
Website
Fundraising
Special Projects
Editing
Photography
Crafts
Filing/Organizing
Research
Grant-Writing
Public Speaking
Direct Services : In-Person
Direct Services : Telephone
Direct Services : Live Chat
Retail Experience
Please list other skills you can provide
Please list the computer programs you are proficient in:
Experience
Prior experience is not required. However, if you have any, please list below. Dates / Name of Organization / Location / Volunteer Responsibilities
What age group(s) would you prefer to work with?
Children
Teens
Adults
Are you applying to be a counseling intern?
*
Yes
No
Are you available to meet with Palomar clients during business hours (M-F 8-5)?
*
Yes
No
Please list related course work you will have completed prior to this internship.
*
Are you applying to be a legal intern?
*
Yes
No
Anticipated Month & Year You Will Sit for the Bar
Have you taken DV Law or a related course in Law School?
Yes
No
Are you a Licensed Legal Intern (LLI) in Oklahoma?
Yes
No
We have to ask...
Have you ever been convicted of or arrested for a criminal offense, other than a minor traffic violation?
*
Yes
No
If you have been arrested for or convicted of a criminal offense, please describe the type of offense, date, law enforcement agency, and current status.
Do you have access to a working vehicle?
Yes
No
Do you have car insurance?
Yes
No
Do you have a valid driver's license?
Yes
No
Schedule Preference
Palomar’s hours of operations are Monday-Friday 8-5. We occasionally have events on evenings and weekends.
Days of the week you prefer to volunteer
*
Monday
Tuesday
Wednesday
Thursday
Friday
Time of day you prefer to volunteer
*
Mornings
Afternoons
How did you learn about Palomar?
*
Please describe why you want to intern at Palomar: Oklahoma City's Family Justice Center.
*
Consent
*
By checking this box, I hereby certify that all statements made in this application are true, and I understand that any false statement of material facts herein may cause forfeiture on my part of all rights to volunteer at Palomar: Oklahoma City's Family Justice Center. I understand that if selected, I will be required to consent to a full background check through the Oklahoma State Bureau of Investigation.
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