Internship Application

Please fill out the below application and one of our counselors will contact you.


Fields marked with a * are required

New Interns will be interviewed before placement. All interns must complete 40-hours of training before any Direct Service Hours may be counted.

* Required for criminal background check.

If you are currently a client or have been within the last two years (at FBCWC or any other organization providing services to survivors of domestic violence or sexual assault) you are not eligible to work as an intern for direct service at this time

Please provide the names, phone numbers, and email addresses of two (2) personal references who are not related to you, but have known you for at least one (1) year

Reference 1

Reference 2

Please be aware of the following:

  • FBCWC conducts criminal background checks on all Direct Service
  • Direct Service interns must provide two (2) personal references. FBCWC will contact these individuals.
  • Interns must complete all relevant training, if required, before providing service.

The following acts as an electronic signature. By checking the box below, you are indicating that you understand and agree to the policies of the FBCWC Internship program as outlined above. 

The following information is not required, but will help FBCWC when applying for grant funding