Academic - Internship Application

DOROT Academic Year College Internship Program Application
Acceptance is on a rolling-admissions basis.

Internship Parameters:
- Most students volunteer between Monday and Thursday. An internship day can begin as early as 9:30 a.m. and must be completed by 5:30 p.m. On Fridays, students can volunteer until 2:00 p.m.
- Minimum time commitment: School-year: Two days a week for one semester with the option to continue for a second semester. Eight to ten hours a week for most internship positions. Some may require fewer hours.
Application Process:
1. Complete and submit the online application form.
2. Selected candidates will be contacted for an interview by Zoom. Candidates that are asked to move forward with the application process will be asked for a second interview.
3. Due to the sensitive nature of this placement, DOROT performs a criminal background check on all accepted interns prior to participation. Official acceptance in the program is contingent on the results of the background check.
4. Applications, acceptances and placements are made on a rolling basis until all positions are filled.
If you have any questions, please contact collegeinternship@dorotusa.org.

Please note: All interns must have access to a personal computer that they can use each day of their internship, including when working in-office.
Name*

First NameLast Name
Preferred Name (if different from given name)

First NameLast Name
Preferred Email*
example@example.com
Preferred Email Type*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Preferred Phone Number*

Area CodePhone Number
Preferred Phone Type*
Birth Date*

MonthDayYear
Gender*
Are you an International Student?*

YesNo
College*
Major*
Minor
Current Class Standing*
Intended Date of Graduation*

MonthDayYear
Date
Permanent Address (if different from above):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Person
Name*

First NameLast Name
Relationship to you*
Phone Number*
Phone Number*

Area CodePhone Number
Email*
example@example.com
References:
Please provide contact information for two non-familial references.
Reference #1*

First NameLast Name
Reference #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Email*
example@example.com
How does this reference know you:*
Reference #2*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
How does this reference know you:*
Background Questions
How did you hear about the DOROT internship?*

DOROT WebsiteFacebookGoogleHandshakeIdealist.orgInstagramInternship.orgMedia outlet (TV, newspaper, radio)Parent or other family memberReferral from a friend or a former internReligious institutionRepair The WorldSchool (A professor or Career Services)UJA-FederationWalked byWayUpOther
Do you have any service requirements for school?*

YesNo
If so, what are the requirements? How many hours? Completed by what date? Other details?
Note: DOROT cannot guarantee hours to meet service requirements.
Have you ever volunteered or been involved in community service before?*

YesNo
If so, describe your volunteer experience and explain where, the length of time, and what you did.
Overall, how would you rate your experience in previous community service involvement?
Personal Interests
What are your hobbies, skills, and interests?*
What would be your ideal internship schedule? Which days of the week and what time of day? (Please choose the appropriate days of the week and list the hours. Example: Tuesdays, 10:30-3 and Thursdays 11-5)
Mondays, Hours
Monday, Hours
Tuesdays, Hours
Tuesday, Hours
Wednesdays, Hours
Thursdays, Hours
Fridays, Hours
Or

I do not yet know my class schedule
What motivates you to intern with DOROT? What do you want to get out of your volunteer experience?*
What would you like to learn from an older adult? What do you think you can share?*
What do you think it might be like to engage with an older adult either in-person, over the phone or on Zoom?*
If accepted as an intern, ideally, how long would you like to keep this internship?*
Are you interested in the internship placement at DOROT Westchester, located in White Plains, NY? (Access to a car is required.)*

YesNo
If accepted as a DOROT intern, in what capacity would you like to work?*

Completely in-personCompletely remotelyOn a hybrid model (1-2 days in office)No preference (either, remote, in-person or hybrid)
If you would like to work in-office, please share the days/times that work best for you.
Please upload your resume.*

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DOROT Academic Year College Internship Program Application