Please complete this application form if you are interested in becoming a Willis Dady Homeless Services intern. Once you complete the form, click the Continue button at the bottom.

Name and Address

Contact Information


Education & Experience

Please describe any relevant coursework/experience

How many hours does your internship require?

What area would you like to focus on?

It may be helpful to look at our different program areas on our website ( under the "How We Help" tab.

Desired Duration of Internship

Why are you interested in interning with us?


Please provide two non-family member references.

Emergency Contact



I certify that all information provided on the application above is true. I authorize Willis Dady to contact the references above for information on my work, experience, character, and/or history. I understand that the intern position is dependent on a background check and a follow up interview.