Behaviroal Health Interventions of Greater St. Louis (BHI) is an EEO/Affirmative Action Employer commited to excellence through diversity. Practicum Offers are made on the basis of the educational practicum objectives amoung BHI and it's referring educational institutional partners, paired with the qualifications/merit-based match between the student and BHI'practicum/Intership program(s) of the applying student, and without regards to race, sex, religion,national or ethnic origin, disability,age, veteran statue,or sexual orientation.
Practicum/Internship Application Checklist Review Please Attach your resume and complete all questions with this application to enable a comprehensive evaluation of your application.

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PERSONAL INFORMATION

Personal information:

First name:

Middle Name:

Last name:

Email:

Birthday:

Social Security Number:

Mailing Address(street and housing unit):

City, State, and Zip Code:

Telephone(Home)-(Please include area code):

Telephone(Work)-(Please include area code):

Telephone(Cell)-(Please include area code):

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EMERGENCY CONTACT INFORMATION

IN CASE OF AN EMERGENCY NOTIFY:

PRIMARY

First name:

Last name:

Relationship:

Address(street and housing unit):

Telephone(Home)-(Please include area code):

Telephone(Work)-(Please include area code):

Telephone(Cell)-(Please include area code):



EMERGENCY CONTACT INFORMATION

IN CASE OF AN EMERGENCY NOTIFY:

SECONDARY

First name:

Last name:

Relationship:

Address(street and housing unit):

Telephone(Home)-(Please include area code):

Telephone(Work)-(Please include area code):

Telephone(Cell)-(Please include area code):

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PRACTICUM INFORMATION

What type of practicum/internship shifts are you seeking ?
Part-time
Full-time

Professional Experience with children and families
Institution # 1 Name of Institution:

Position/Title(eg.Unit Volunteer):

Supervisor's Name and Credentials

May we contact them ?

Start and Ending Dates(mm/yy): ?

Hours per week: ?

Total hours of practicum/internship: ?

Supervisor's Phone Number: ?

Institution # 2 Name of Institution:

Position/Title(eg.Unit Volunteer):

Supervisor's Name and Credentials

May we contact them ?

Start and Ending Dates(mm/yy): ?

Hours per week: ?

Total hours of practicum/internship: ?

Supervisor's Phone Number: ?

Institution # 3 Name of Institution:

Position/Title(eg.Unit Volunteer):

Supervisor's Name and Credentials

May we contact them ?

Start and Ending Dates(mm/yy): ?

Hours per week: ?

Total hours of practicum/internship: ?

Supervisor's Phone Number: ?

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Essay Questions

Please answer the following questions:
How did you first become interested in or aware of Behavioral Health Interventions of Greater St. Louis? (approx. 200 words)

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Please describe the ways in which the work of a clinician of your specific profession contributes to the community health care experience of a child and his/her family. (approx. 200 words)

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Please answer the following questions:
Identify the counseling and case management concerns that could arise for a typical 35year old female, who has lost her oldest son to gun violence while during a dual diagnosis treatment episode. Please share at least 2-3 issues and at least 2-3 proposed interventions for each issue. Please share your understanding for each one of these issues as directly relating to this type of situation and your rationale for each one of your proposed interventions.

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What motivated your interests in obtaining a practicum/intership experience with Behavioral Health Interventions of Greater St. Louis ?

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Delcaration of Transparancy

By completing and submitting this application for practicum//intership opportunites, I declare that I have answered all questions within this application to the best of my abilities, and to the best of my knowledge, all facts provided by me through my completion of this application is true. It is as well my understanding that any misrepresentation of facts provided by me through the completion of this application, as well as any ommission of facts regarding the meterial in this application represents falsification of information provided and is deemed grounds for denial and or dismissal from my practicum/internship opportunities with Behavioral Health Interventions of Greater St. Louis.


Applicant's Signature

Today's Date

Please upload your resume and related credentials here Select files:

BHI Practicum/Internship Opportunities

BHI Practicum/Internship Descriptions

Thank you for your interest in Joining Us as a Practicum/Internship Team Member !!!

Please visit our Practicum Opportunities listing for more information.



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