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Page 1

Graduate Internship Program

Application Form

Contact ID

Previous Internship Application

Have you applied for an internship at Calgary Counselling Centre before?

Year of Previous Application

Please contact our Student Program Administrator before you proceed with your application to confirm that you are eligible to apply again at this time. Email student.program@calgarycounselling.com or call 403.691.5967

I have confirmed that I am eligible to submit an application for the Internship Program at this time.

Citizenship

I am a

Canadian citizen or Permanent ResidentForeign national

Please upload your Canadian work permit

University Details

University

Name of University

Please contact our Student Program administrator before you proceed with your application to confirm that your university's requirements are aligned with Calgary Counselling Centre's Internship Program. Email student.program@calgarycounselling.com or call 403.691.5967

I have confirmed that the Internship Program offered at Calgary Counselling Centre is in alignment with my university's requirements.

Program

Type of Program

Applicant Details

First Name

Last Name

Address

City

Province

Postal Code

Home Phone

Cell Phone

Personal Email

Highest Degree Earned

Year of Degree

Special Skills

Internship Details

Program Request

Position Request

When would you like to start?

Supervisory Requirements

Number of Direct Client Contact Hours Required

This is a hybrid placement: you are required to participate both online and in person.

I confirm that I am able to participate both online and in person.

Application Fee

All applicants are required to pay a $50 non-refundable application fee.

Payments can be made in one of the following two ways:

1. Please follow the link below and make a $50 payment by credit card. Please enter into the Comments field: INTERNSHIP APPLICATION and YOUR NAME. CCC Payment Link

OR

2. Please send a $50 e-transfer to edeposit@calgarycounselling.com . Do NOT use a password. Please enter into the Comments field: INTERNSHIP APPLICATION and YOUR NAME.

I paid by credit cardI paid by e-transfer

Date I paid the deposit

Payment approval code

Payment reference number

Supporting Documents

Please upload the following documents in pdf format:

Cover Letter

Resume/CV

University Transcripts

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Contact Information