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Shanti Internship Application

Shanti is pleased to offer qualified students unpaid internships in Peer Advocacy, Care Coordination, and Program Coordination. Interns, under the supervision of Shanti staff, will work directly with Shanti clients (people living with HIV/AIDS). Interns accepted at Shanti are required to participate in Shanti's comprehensive, 23-hour peer support volunteer training. The training will provide tools, skills, and experiences that will relate directly to the work with our clients.

Please complete and submit this application to Shanti. You will be contacted quickly by Tara Stacker, Volunteer Services Program Manager to further the application process.

All information on this application is kept confidential.
Today's Date:
Desired Internship:
Birthdate/Age:
Full Name:
Home Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
E-mail:
 
If employed, your job title:
If employed, your employer:
Length of employment:
Hours per week:
 
Emergency contact:
Address:
Relation to you:
Phone number(s):
 
     
How were you referred to Shanti?
 
Gender Identity:
Female     Male     Transgender/Of Trans Experience
 
Sexual Orientation/Sexual Affection:
 
Racial and/or Ethnic Identification: 
 
What languages do you speak?
 
What languages do you read and write?
 
Current Academic Institution:
 
Major:
 
Minor or Concentration:
 
How many units/credits are you planning to carry during your internship?
 
What is your current class standing?
Freshman     Sophomore     Junior     Senior     Graduate
 
Will this internship be fulfilling an academic requirement?
Yes     No
 
If yes, please explain:
 
Special Training or Work Experience:
 
       
Please answer each of the following questions as completely as you can.
 
1.   Please describe briefly why you are interested in the Shanti internship program, what you hope to gain from the program, as well as contribute.
 
 
2.   Please describe what professional and/or personal experiences you have had working with people living with HIV/AIDS, breast cancer, or other serious illnesses. Also, please include any training you have received around the issues and concerns.
 
 
3.   What concerns, if any, do you have about interning at Shanti?
 
 
4.   What are some of your other personal and/or professional obligations (e.g. family, primary care provider, and/or religious commitments)?
 
 
5.   Please briefly describe any experiences you have had working with communities of color. Also, please tell us about any cultural competence or diversity awareness workshops or college classes you have attended.
 
 
           
6.   What is the best time to reach you? (check all that apply):
  Monday Tuesday Wednesday Thursday Friday  
  AM AM AM AM AM  
  PM PM PM PM PM  
  What is the best phone number to reach you at:
 
 
6.   When would you prefer to complete your internship hours?
  Monday Tuesday Wednesday Thursday Friday  
  AM AM AM AM AM  
  PM PM PM PM PM  
 
9.   Do you have any additional comments or information you would like to share with us when considering your application?
 
 

 
 


Shanti | 730 Polk Street | San Francisco, CA 94109 | (415) 674-4700
 
HIV/AIDS Services: 
Overview | Activities for Clients | The Drop-in Service Center | Care Coordination | Peer Advocacy | The L.I.F.E. Program
 
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