Interested in an Internship?

Would like to Volunteer at the Social Mind Center?

Please fill out our application form below and we will contact you.

PERSONAL INFORMATION

Name

First Name

Last Name

Preferred Name

Gender

Date of Birth

YYYY

Age

Mobile Phone

(###)

###

####

Other Phone

(###)

###

####

Permanent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name and Number

Allergies

Any accommodations needed in work environment?

AVAILABILITY

How many hours a week are you willing to work?

What are your preferred days and times?

EDUCATION

Post High School Education

Name of College, Major, Year of Graduation

High school name, city, and graduation year

College course work or advanced curriculum courses

What are your future educational plans?

What are your future career plans?

PERSPECTIVE

Why are you interested in working at the Social Mind Center?

What is autism?

Do you believe that neurodiverse individuals should be expected to act and think as neurotypicals?

EXPERIENCE

What experience have you had if neuro-diverse children?

What experience or interaction have you had with autistic people?

What skills are you interested in acquiring?

What specific training (topics) would you like to participate in?

Is there anything else that you would like to share with Social Mind Center team?

Please take the time to read through our website.

Thank you for your interest in the Social Mind Center!

- Dr. Sandra Savinelli and Ana Anselma