Thank you for considering LAHC for an internship opportunity. Our goal is to provide our interns with a unique learning experience where they can grow both personally and professionally while serving a great cause. Please  submit the internship application below along with the required documents. Please note that submitting an application does not guarantee an internship position. A member of our team will review your information and update you on the status of your application.

Internship Application Form-LAHC

• Personal Information

• Name*
  First Last
• Date of Birth*
  Month

  Day

  Year
• Address*
  Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Cell Phone #*
• Email*
  Enter Email Confirm Email
• Legal Status*
  U.S CitizenPermenant ResidentStudent Visa (F1)Other (Please specify)
• If you answered "other", please specify
• Have you ever been convicted of or pled guilty or nolo contendere to a criminal offense other than a minor traffic violation?*
  • Yes
  • No
• If you answered yes, please explain
• Are there any felony charges pending against you?*
  • Yes
  • No
• If you answered yes, please explain
• Are you willing to undergo a background check?*
  • Yes
  • No

• Position and Availability

• Student ID Number*
• List the name of the department you are seeking an internship position with:*
  • Substance Abuse Prevention
  • Obesity Prevention- Healthy Living
  • Social Services
  • Education and Youth Development
• Available Start Date:*
  Month/Day/Year
• Internship End Date:*
  Month/Day/Year
• Are you available to work: (choose all that apply)*
  • Select All
  • Full-time
  • Part-time
• List the days and times you are available for work?*
  Please be specific as this will allow us to coordinate your work schedule
• Academic Institution you are currently attending requesting the Internship*
• Name of the Academic Personnel that is overseeing your internship*
  E.g Professor, Department Head, Academic Advisor...
• Title of the Academic Personnel that is overseeing your internship*
  E.g Professor, Department Head, Academic Advisor...
• Phone Number of the Academic Personnel that is overseeing your internship*
• Email Address of the Academic Personnel that is overseeing your internship*
  Enter Email Confirm Email

• Education

• What is your current status (check one)?*
  • Sophomore
  • Junior
  • Senior
  • Graduate Student
• College you are currently attending*
• College Address (City, State)*
• Did you graduate?*
  • Yes
  • No
• If you answered No, what is your expected graduation date?
• Number of Years Completed*
• Degree Earned*
• Major*
• Do you speak any foreign language (s)?*
  • Yes
  • No
• If you answered yes, which language and what is your level of proficiency?
• Describe any student organizations, job experiences, additional course work (undergraduate or graduate), skills, degrees, certifications, or licenses that you have that will help you with this internship.*
• Describe your career goals and how this internship will help you reach those goals. Be specific about the experiences you want to gain through this internship and why you believe this internship can provide such an experience.*
• Upload a Copy Your Student ID and Driver License*
  Drop files here or Select files

  Max. file size: 256 MB.
• Upload a copy of your internship request form provided to you by your university (If applicable)
  Drop files here or Select files

  Max. file size: 256 MB.
• AGREEMENT - PLEASE READ BEFORE SIGNING*
  In connection with my application for Internship with LAHC-Leaders Advancing and Helping Communities, I hereby authorize LAHC-Leaders Advancing and Helping Communities, or its agents, to investigate and verify the activities and statements contained in this application, my resume, or other documents, that I have submitted to LAHC-Leaders Advancing and Helping Communities. I agree to fully cooperate with LAHC-Leaders Advancing and Helping Communities in any such investigation. I hereby release all persons, educational institutions, law enforcement organizations, firms or corporations providing LAHC-Leaders Advancing and Helping Communities with information pursuant to its investigation and verification from any and all liability or responsibility in connection therewith and I am specifically aware that such investigation may include obtaining my driving record if driving and criminal records.
  If offered Internship, I have no objection, if requested to signing an employee agreement on confidential information, making application for a bond or security clearance, or to taking a medical examination which could include a drug screen.
  In consideration of my Internship request, if granted, I agree to conform to the policies, procedures, rules and regulations of LAHC-Leaders Advancing and Helping Communities, including, but not limited to those contained in the Employee Handbook of LAHC-Leaders Advancing and Helping Communities, as the same may, from time to time, be revised. I understand and agree that my internship is at will and that may be terminated, with or without cause, and with or without notice, at any time by LAHC-Leaders Advancing and Helping Communities or myself. I understand that no representative of LAHC-Leaders Advancing and Helping Communities, other than the Senior Executive Director of LAHC-Leaders Advancing and Helping Communities, has any authority to enter into any agreement for employment/Internship for any specified period of time or to make any agreement contrary to the foregoing, and then only in writing, signed by myself and the Senior Executive Director of LAHC-Leaders Advancing and Helping Communities or myself.
  
  I affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge, and agree that misrepresentations, falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.
  By typing my name below, I am electronically signing my application.
  
  I agree:
• Electronic Signature: First-Last Name*
• Date
  MM slash DD slash YYYY