Clinical Internship Application Home / About / Careers at Ashley / Clinical Internship Application Clinical Internship Application This application will be used by all students applying for a position as an intern with Ashley's inpatient, outpatient or extended care clinical teams. Name* First Last Email* Phone*Which of the following statements best describes how committed you are to working in the field of Substance Use Disorder treatment after you graduate?* I am not interested in working in the field but I am interested in gaining experience through an internship. I am somewhat interested in working in the field but I will wait to decide until after my internship. I am neutral about working in the field but I am interested in gaining experience through an internship. I am very interested in working in the field and I will be seeking employment in the field after I graduate. I have previous experience working in the field and I will be seeking employment in the field after I graduate. What degree are you currently working to obtain?* Associate's Bachelor's Master's Doctorate What is your major?* Social Work Counseling Psychology What school do you attend?* Johns Hopkins University Morgan State University Salisbury University Towson University University of Delaware University of Maryland Wilmington University Name of your school's internship coordinator.* Email address of your school's internship coordinator:* Do you currently have any of the following credentials in Maryland?* Select All Alcohol and Drug Trainee (ADT) Certified Supervised Counselor - Alcohol and Drug (CSC-AD) Certified Associate Counselor - Alcohol and Drug (CAC-AD) Certified Peer Recovery Specialist (CPRS) Other (Select all that apply)What is your availability?* Select All Weekdays Evenings Weekends (Select all that apply)What are the total number of hours needed to complete your internship?* < 100 100 - 300 300 - 600 600 - 900 900 + Expected internship start date.*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expected internship end date.*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Attach your resume.* Drop files here or Select files Max. file size: 50 MB. Δ
