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405-841-4800
501 N. Walker, Suite 140 Oklahoma City, OK 73102
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Who We Are
Staff and Board of Directors
Careers
History
News & Transparency
Calm Waters Book Club
Our Services
Counseling and Consultation
Grief Support Groups
Divorce Support Groups
Student Support Groups
Winter Grief Workshop
Grief Training
Co-Parenting Seminars (Court Approved)
Partnership Programs
Incarcerated Oklahomans Grief Support
Grief Support and Education for Medical Professionals
Community Crisis Services
Camp Courage
Webinar Series
Resources
Volunteer
Join the Volunteer Team
Volunteer Training
Internships
Events
Under the Big Top
Ripples of Hope
Ways to Give
Charlotte Lankard Giving Society
Sailing Club
Menu
Who We Are
Staff and Board of Directors
Careers
History
News & Transparency
Calm Waters Book Club
Our Services
Counseling and Consultation
Grief Support Groups
Divorce Support Groups
Student Support Groups
Winter Grief Workshop
Grief Training
Co-Parenting Seminars (Court Approved)
Partnership Programs
Incarcerated Oklahomans Grief Support
Grief Support and Education for Medical Professionals
Community Crisis Services
Camp Courage
Webinar Series
Resources
Volunteer
Join the Volunteer Team
Volunteer Training
Internships
Events
Under the Big Top
Ripples of Hope
Ways to Give
Charlotte Lankard Giving Society
Sailing Club
DONATE
CONTACT
Intern Practicum Application
Step
1
of
2
50%
Personal Information
Legal First Name and Last Name
(Required)
Please double check your spelling and include your full legal name. We will use the spelling provided for your background check.
I identify my gender as:
(Required)
What is your race/ethnicity?
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Primary Phone Number
(Required)
Mailing Address
(Required)
City / State / Zip
(Required)
Email
(Required)
Enter Email
Confirm Email
Please provide your preferred email address, this needs to be the address that is frequently used and checked.
Emergency Contact Name
(Required)
Emergency Contact Phone
(Required)
Relation to Emergency Contact
(Required)
Internship/Practicum Requirements
General interns and practicum students are asked to facilitate support groups at our center or in schools during their internship. Groups are held on Mondays and Thursdays from 6:30 to 7:30 p.m. Each student is asked to commit to facilitating a group for a minimum of six (6) months. Clinical interns are asked to see clients at least one evening per week until 8:00 p.m. Each clinical intern must hold and provide proof of malpractice insurance and commit to at least eight (8) months of service.
University and program attending
(Required)
Current year based on credit hours?
(Required)
0-29 - Freshman
30-59 - Sophomore
60-89 - Junior
90-120 - Senior
Masters Program
Doctorate Program
Other
Are you seeking a clinical internship? (That is, are you expected to see individual therapy/counseling clients?)
(Required)
Yes
No
Other
When are you expected to start and what is the length of your internship/practicum? How many hours does your internship or practicum require for completion?
(Required)
We require all incoming interns and practicum students to complete at least 100 hours at Calm Waters.
Criminal History
Have you ever been charged with, plead guilty to or been convicted of a criminal offense?
(Required)
Yes
No
If yes, please explain
We require all volunteers, interns and practicum students to complete a background check before starting their work. Are you a legal U.S. citizen with a valid license and social security number?
(Required)
Yes
No
Other
What connects you to our mission?
What employment or work experience do you feel would help you relate to the Calm Waters mission?
(Required)
Please give us the top three reasons you would like to complete your practicum/internship with Calm Waters:
(Required)
What would you say is the biggest loss you have experienced in your life?
(Required)
Reference #1 Information
Reference #1 Full Name
(Required)
Reference #1 Phone Number
(Required)
Reference #1 Email
Reference #2 Information
Reference #2 Full Name
(Required)
Reference #2 Phone Number
(Required)
Reference #2 Email
Please indicate which support group you are available to facilitate:
(Required)
Grief Group - Mondays
Divorce Group - Thursdays
School Support Groups (Assorted Weekdays)
Select All
Just a couple more things...
How did you hear about Calm Waters?
(Required)
Facebook
Instagram
I'm a past client
Friend
Newspaper
Twitter
Radio
What is your t-shirt size?
(Required)
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
Other
Calm Waters t-shirts are distributed once volunteer training is completed.
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