INTERNSHIP APPLICATION

At this time, our program accepts interns for the Fall, Summer, and Spring semesters. We do not accept interns mid-year. Interns are typically accepted in cohorts and are expected to continue with the program for a preset duration with their cohort.

 To be eligible for an internship or practicum, you must:

1. Must be enrolled in an internship and/or practicum course from an accredited university
2. Must be available M-F during the hours of 9 am - 5 for clinical supervision
3. Must be available 1x per month for a monthly staff meeting (Tuesdays or W @ 9 am or 12 noon)
4. Must be able to perform at least 9 hours of services per week of which 7 hours per week shall be in-person 
5. Must be able to be supervised by an LCPC, LCSW-C, LCMFT, or CPNP
6. Must be at the Practicum Level  (Some prior experience is required)

Supervision

Most training programs require students to receive an average of 100 supervision hours and between 300-500 hours of supervised clinical hours. Washington Area Clinical Center is able to offer an average of 9 hours per month of clinical supervision as a combination of individual, group, and live supervision.

Interns must be able to provide at least 3 hours of onsite (in-person) clinical services. When performing on-site services, Interns will receive up to 3  hours of live supervision.

Our agency only accepts interns who are able to perform services over a 1 year period.

Interns, Volunteers, and Students

1. Program/School Site Supervision Forms (please complete all sections except for sections to be completed by the site)

2. Program/School Site requirements

3. Student Liability Insurance

4. TB Screener (If applicable. Please complete the risk assessment first to determine if testing is required)

5. Copy of Resume

6. Consent for Background Check

Washington Area Clinical Center and the Maryland Department Health (MDH) are concerned about the health and safety of all individuals and the safeguarding of agency property.  All reasonable efforts will be made to provide a safe and secure environment for our patient, other team members, and their families. Based on this objective, a criminal history record check will be completed on the top applicant being considered for employment in any job with the agency.  Criminal history record checks may also be completed on individuals performing direct care, treatment and or/custodial services as volunteers and interns.  All applicants must sign a release of information allowing Washington Area Clinical Center to complete a background check in accordance to COMAR 10.63.01.05C

Please complete the pre-background check screening attestation below.

Background Check Privacy Statement and Instructions

Instructions: If you are selected for an internship, you must complete the pdf document attached and take it to an approved CJIS/fingerprinting vendor. WACC reimburses for background checks up to $39 or the current cost of the state approved check. Please note that private fingerprinting providers may charge you more than the approved reimbursement amount. WACC has disgnated private fingerprint and background check providers that you may use if you wish to skip the reimbursement process.

Privacy Act Statement

Authority: The FBI’s acquisition, preservation, and exchange of fingerprints and associated information is generally authorized under
28 U.S.C. 534. Depending on the nature of your application, supplemental authorities include Federal statutes, State statutes pursuant
to Pub. L. 92-544, Presidential Executive Orders, and federal regulations. Providing your fingerprints and associated information is
voluntary; however, failure to do so may affect completion or approval of your application.

Principal Purpose: Certain determinations, such as employment, licensing, and security clearances, may be predicated on fingerprint-
based background checks. Your fingerprints and associated information/biometrics may be provided to the employing, investigating,or otherwise responsible agency, and/or the FBI for the purpose of comparing your fingerprints to other fingerprints in the FBI’s Next Generation Identification (NGI) system or its successor systems (including civil, criminal, and latent fingerprint repositories) or other
available records of the employing, investigating, or otherwise responsible agency. The FBI may retain your fingerprints and associated information/biometrics in NGI after the completion of this application and, while retained, your fingerprints may continue to be compared against other fingerprints submitted to or retained by NGI.
Routine Uses: During the processing of this application and for as long thereafter as your fingerprints and associated information/biometrics are retained in NGI, your information may be disclosed pursuant to your consent, and may be disclosed
without your consent as permitted by the Privacy Act of 1974 and all applicable Routine Uses as may be published at any time in the Federal Register, including the Routine Uses for the NGI system and the FBI’s Blanket Routine Uses. Routine uses include, but are not limited to, disclosures to: employing, governmental or authorized non-governmental agencies responsible for employment, contracting, licensing, security clearances, and other suitability determinations; local, state, tribal, or federal law enforcement agencies; criminal justice agencies; and agencies responsible for national security or public safety.

As of 03/30/2018

NONCRIMINAL JUSTICE APPLICANT’S PRIVACY RIGHTS

As an applicant who is the subject of a national fingerprint-based criminal history record check for a noncriminal justice purpose (such
as an application for employment or a license, an immigration or naturalization matter, security clearance, or adoption), you have
certain rights which are discussed below. All notices must be provided to you in writing. 1 These obligations are pursuant to the
Privacy Act of 1974, Title 5, United States Code (U.S.C.) Section 552a, and Title 28 Code of Federal Regulations (CFR), 50.12,
among other authorities.

 You must be provided an adequate written FBI Privacy Act Statement (dated 2013 or later) when you submit your fingerprints and associated personal information. This Privacy Act Statement must explain the authority for collecting your fingerprints and associated information and whether your fingerprints and associated information will be searched, shared, or retained. 2

 You must be advised in writing of the procedures for obtaining a change, correction, or update of your FBI criminal history record as set
forth at 28 CFR 16.34.

 You must be provided the opportunity to complete or challenge the accuracy of the information in your FBI criminal history record (if you
have such a record).

 If you have a criminal history record, you should be afforded a reasonable amount of time to correct or complete the record (or decline to do so) before the officials deny you the employment, license, or other benefit based on information in the FBI criminal history record.

 If agency policy permits, the officials may provide you with a copy of your FBI criminal history record for review and possible challenge.

If agency policy does not permit it to provide you a copy of the record, you may obtain a copy of the record by submitting fingerprints and
a fee to the FBI. Information regarding this process may be obtained at
https://www.fbi.gov/services/cjis/identity-history-summary-checks and https://www.edo.cjis.gov.

 If you decide to challenge the accuracy or completeness of your FBI criminal history record, you should send your challenge to the agency that contributed the questioned information to the FBI. Alternatively, you may send your challenge directly to the FBI by submitting a request via https://www.edo.cjis.gov. The FBI will then forward your challenge to the agency that contributed the questioned information
and request the agency to verify or correct the challenged entry. Upon receipt of an official communication from that agency, the FBI will
make any necessary changes/corrections to your record in accordance with the information supplied by that agency. (See 28 CFR 16.30
through 16.34.)

 You have the right to expect that officials receiving the results of the criminal history record check will use it only for authorized purposes
and will not retain or disseminate it in violation of federal statute, regulation or executive order, or rule, procedure or standard established
by the National Crime Prevention and Privacy Compact Council.

Thank you for submitting a full and completed package. Once your information is reviewed, a member of our team will contact you if additional information is needed. If you are missing documents or have not completed the necessary steps to submit the required information, do not submit this application. Placement decisions are based on numerous factors including experience level, client caseload waiting lists, staffing needs, etc.Stop, obtain the necessary information and return to complete the package. Our team holds packages for up to 1 year. If you are not offered an internship in this cohort, we may contact you in the future if a space becomes available.