Internship Interest Application

Note: We do not offer paid internships at this time.

Thank you for your interest to intern with New Star. Interns play a vital role in helping New Star fulfill our mission of providing choices and opportunities for individuals with intellectual/developmental disabilities.

Internships allow students to have a hands on experience in their chosen field and have the ability to meet educational requirements.

All interns will be required to attend a volunteer orientation during their internship time. Due to the nature of our work, select volunteer positions must complete a criminal background check.

The information you provide on this application will be completely confidential and never shared. Only authorized staff will have access to this information.

Once you complete the form, click the Continue button at the bottom.

NAME AND ADDRESS

Please fill out completely

First name:

Last name:

Middle name:

Title:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

Cell phone:

Email address:

Date of birth:

Would you like to opt-in to text messaging?

Yes Not now

Volgistics Volunteer Alerts sends reminders, alerts, and custom messages from System Operators and Coordinators. Use this section to opt-in and opt-out of text messaging (also known as "SMS"), and initially set how you would like to receive messages. Your messages can be delivered as emails, text messages, or none. You can change this at any time through VicNet. View supported phone carriers.

Mobile phone:

Country:

Receive automated
messages between:

and

Time zone:

Choose how you would like to receive the following types of messages:

Custom Messages

with Text

Notification

None

Active Individual Volunteers

I agree to the Terms and Conditions.

Message and Data Rates May Apply. For help or information on this program send "HELP" to 28344. You can send "STOP" to 28344 at any time to opt out. For additional assistance, call 888-891-6978 or click here. Message frequency based on account settings. Messages are not guaranteed to be delivered. All messages will be sent by email until you respond "YES" to the welcome text message sent after the application form is submitted. Message preferences can be changed in VicNet on the Account tab.

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2

First name:

Last name:

Home phone:

Work phone:

Cell phone:

EXPERIENCE AND INTEREST

Please indicate areas of experience and/or interest

How did You Hear About Us?:

Employer name:

First name:

Last name:

Street 1:

City:

State:

Zip:

Work phone:

Cell phone:

Email address:

Relationship:

AVAILABILITY

Please indicate the days and times you are usually available to volunteer.

SCHOOL

This area must be filled out by current students

Major degree:

Minor degree:

High school:

College:

If volunteering is part of school requirement please list what you will need from New Star (hours, recommendations, etc.)

CONTACT PERMISSION

Please help us know the best way to contact you.

Best way to reach you

Special School Requirements

List any expectations of New Star for you to meet the requirements of your specific internship.

List requirements here.

I understand that volunteering with New Star will include the following:

- Completed Application

- New Volunteer Orientation

- Background Check (Required for specific roles)

- Read and signed Volunteer Manual (agree with policies)

- Photo Release

I Agree

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