Volunteer Internship Program Application

Name *

First

Last

Email *

Phone Number *

I understand this is an unpaid position. *

Yes No

Do you speak another language fluently? *

Yes No

If yes, what language? *

Please provide one professional reference.

Reference Name *

Refernce Title *

Reference Email Address *

Reference Phone Number *

Undergraduate School of Attendance *

Undergraduate GPA *

Undergraduate Major *

Graduate School of Attendance *

How did you hear about the Crossroad Volunteer Internship Program *

Are you pursuing any of the following pre-professional programs? *

How do you plan to commute to Crossroad Health Center? *

Please check which location(s) you would be able to travel to for your weekly shift. *

OTR (5 E. Liberty St, 45202) West (2859 Budinot Ave., 45238) Harrison (Harrison, OH)

The supplemental materials includes three components:

Essay #1: What is your obligation to your community? 250 word maximum, single-spaced.
Essay #2: Describe a time when your perspective on an issue was challenged and how you handled it. 250 word maximum, single-spaced.
Professional Resume: 2 page maximum

Submit the supplemental materials as one PDF with the title in the format of Lastname_Firstname.pdf. *

Max file size: 20MB

It is the policy of Christian Community Health Services to ensure equal employment opportunity in accordance with the Ohio Revised Code 125.111 and all applicable federal regulations and guidelines. Employment discrimination against employees and applicants due to race, color, religion, sex, national origin, disability, age, military status, or veteran status is illegal.

Crossroad Volunteer Internship Program Online Application

Applicant Information

Please provide one professional reference.

Supplemental Materials

About | Contact | Hours & Locations