Welcome to the ACS Traineeship/Internship Application Portal!

Dear Applicant, 

Thank you for your interest in Adolescent Counseling Services (ACS).  We are excited to get to know you better.  Please complete this brief application to help us understand the type of experience you are looking for in a traineeship / internship.  

Through the information you provide, we will try our best to match you with an experience that is most appropriate for your learning.  While we do take into consideration your preferences, we also acknowledge that we must balance our program needs and may not be able to accommodate your preferences as desired and will discuss with you in your interview.  We do, however, believe that each of our trainees / interns receive a valuable clinical experience and quality supervision throughout their time with ACS.  And it is our goal to provide a kind, safe, and supportive environment where you can find your own way as a developing clinician.  

We look forward to being a part of your professional journey.  

Sincerely, 

Erin Carlson-Jones, LCSW #61727
Clinical Director
Institute of Psychotherapy & Training
Adolescent Counseling Services
www.acs-teens.org

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1. Full Name (First & Last)

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2. Preferred/Chosen Name? (If other than legal name)

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3. Pronouns: If you'd like, please let us know what pronouns you use so we can address you correctly.

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4. Email Address

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5. Cell Phone Number

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6. What is your address?

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7. Which graduate school are you attending or have you attended?

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8. Graduate Program Type

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9. This placement would be (select one of the following)

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10. Language(s) in which you are able to conduct therapy in addition to English (check all that apply) this is not a requirement for the placement. 
Spanish speakers will receive an additional stipend. 

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11. When are you looking to begin your practicum/internship?

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12. Indicate which of the following setting(s) you are interested in working in (Must select at least 1 choice and no more than 4 choices)

  1st Choice - If interested in Both Options, Please identify in Notes Section Below...
ON-CAMPUS COUNSELING (OCCP - High School)
ON-CAMPUS COUNSELING (OCCP - Elementary School)

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13. ACS has a diverse group of clinical supervisors who practice a variety of treatment models / approaches.  To best match you with a supervisor you are most comfortable in working with, please select any/all of the following:

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14. Will you be available on Wednesdays for Group Didactics and Clinical Supervision during the day? (Online and/or in-person)
***Question may not apply to SJSU Students***

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15. Do you drive or have access to other forms of transportation? Transportation will be required for engagement with some placements (ASAT, Outlet, weekly didactics, some group supervision times & staff meetings, etc... require transportation to engage: personal vehicle, bus, Bart, etc...)

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16. Please tell us why you would be an awesome candidate for a traineeship/internship with ACS. Also, Did we meet or connect with you at an Internship fair?
What stands out about you? 

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17. Please upload your Resume or CV here.

PDF, DOC, DOCX file types only.
Choose File

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18. Please upload your Cover Letter

PDF, DOC, DOCX, GIF file types only.
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19. Please upload one (#1) Letter of Reference
- MSW & MFT Interns must provide at least 1 letter via survey OR at time of interview. 
- PhD/PsyD trainees must submit 2 letters separately (see below for 2nd letter download prompt)

PDF, DOC, DOCX file types only.
Choose File

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20. PhD/PsyD ONLY: please upload #2 of the two required Letters of Recommendation.

PDF, DOC, DOCX file types only.
Choose File
 
 100% of survey complete.

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