To schedule an appointment: 727.388.1220
Administrative Office: 727.327.7656
Sexual Assault Service Helpline: 727.530.7273
Abuse Hotline: 800.962.2873

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Strengthening, protecting and restoring lives for a healthy community.
Application for Internship
Suncoast Center is a Drug-Free Workplace and abides by the Clean Air Act.

Please answer all questions completely.
School Affiliation:
Address:
You may paste a text version of your resume below.
How did you learn about our organization and our internship program?
Email
Are there any days, hours or breaks in classes/semester you will not be able to participate? If yes, please list.
What are your strengths and weakness?
What's your anticipated start date?
What is the duration of your internships?
Have you ever been convicted of a felony or do you have any pending arrests or convictions? If yes, please explain.
Can you provide documentation verifying that you are legally eligible to work in the United States?
Have you taken any illegal drugs in the last 30 days?
Have you applied here before? If yes, please provide the dates.
List any relatives/friends currently employed here:
Who should be contacted in case of an emergency?
List any work-related skills, training or experience you believe are relevant to the internship you are applying for:
Why did you decide to pursue a career in mental health?
Why do you want to intern at this organization?
Describe a time when you faced a difficult situation and how you overcame it.
What would you like to gain or take away for your internship?
What are you biggest accomplishments?
List and briefly describe any educational degrees, skills training or experiences you believe are relevant for this internship:
What is your major?
Have you had any moving violations in the past 5 years? If yes, please explain.
Do you have a valid Florida Driver's License? If no, please explain.
Do you have a reliable form of transportation to the internship site?
have you had any DUI or DWI convictions? If yes, please explain.
Supervising Manager:
Internship Site:
Phone Number:
Social Security Number:
Date:
Name
Submit
PERSONAL DATA
EMPLOYMENT HISTORY
EDUCATION
DRIVING RECORD
(may or may not be considered depending on the internship applied for)