Pillars of Wellness

We are so excited to have you join our team! Please fill out this form to help us determine which program to have you be involved in when you start your time with us. This information will be used by our internship team and shared with program leads to match interns with programs. At this time, interns will be locked in with one program for the duration of their time with us.

First and last name *

Email address *

Program Ranking

Rank the programs *

Please rate programs from most interested (1) to least interested (5). You can find more detail on specific programs at pillarsinspires.com/centers-of-excellence. Please note, there are some programs at Pillars currently not interested in having an intern involved; the ones on this list are programs who have decided they would like to have an intern involved. Please choose one ranking number per program.

DBTChristian CounselingMaternal Mental HealthShelter ServicesYouth IOP

DBT

What draws you to DBT compared to the other programs at Pillars? *

What experience, if any, do you have with DBT? *

The DBT program involves working with clients that are a little higher risk than the general population of outpatient clients (suicidality, self-harm, etc.). What is your comfort level in working with higher risk clients? *

Group is held virtually on Wednesdays at 5p CST. Would you be able to shadow/co-facilitate at this time? *

YesNo

Christian Counseling Program

Please review the statement of faith on our website. Do you feel like you align with what is said in the statement of faith? *

YesNo

Maternal Mental Health

Why are you interested in Maternal Mental Health? *

Do you have any experience or training in Maternal Mental Health (personal and/or professional)? *

YesNo

What skills/strengths do you have that would benefit the Maternal Mental Health program? *

Shelter Services

What interests you about working in a shelter environment? *

How do you feel your skills can contribute to the shelter services program? *

What support or resources do you feel you would need to take on this role? *

What professional goals do you have related to this role? *

Are you willing to travel to Valparaiso, Michigan City, and/or Hammond to conduct groups, or would you only be interested in attending groups virtually? *

Willing to travelVirtual onlyOther

Youth IOP

Are you able to drive to the Valpo location to attend IOP groups? (Note: outside of IOP groups, unless you are on the Valpo team you will not be seeing clients out of the Valpo office.) *

YesNo

Progress0 of 17

Intern Program Matching

Program Ranking

DBT

Christian Counseling Program

Maternal Mental Health

Shelter Services

Youth IOP