Internship Form

 
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  Thank you for considering CenClear for your Internship/Supervision experience. Prior to participating in an Internship/Supervision at CenClear you will be required to
have obtain the following clearances:
· PA Criminal Record (State Police)- https://epatch.state.pa.us
· Child Abuse History Check- www.compass.state.pa.us/cwis
· FBI Clearance- PA Department of Human Services - https://uenroll.identogo.com · Mandated Reporting Certificate-free-www.reportabusepa.pitt.edu.

Please answer the questions thoroughly. If a question does not apply to your request please write N/A in the answer box.
   
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Please indicate which department you wish to complete an Internship/Supervision in:
 
  
  
  
  

    
   
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