Internship Application

We are collecting demographics for statistical purposes so that we may evaluate the diversity of our agency. HCWC does not discriminate on the basis of race, creed, color, ethnicity, national origin, religion, gender, sexual orientation, age, height, weight, physical or mental ability, veteran status, military obligations, and marital status. If you'd like to participate by answering these four questions, we promise NOT to share your information.

The Hays-Caldwell Women’s Center is committed to the safety and welfare of its clients. The Center is also committed to the confidentiality of all information regarding its clients as a means of ensuring their safety. Confidentiality is defined as the assurance that access to information regarding any client shall be strictly controlled, and that any violation of such control shall be a breach of faith. Confidential information shall include but is not limited to: Communications, information and observations made by, between or about adult and child clients, staff, volunteers, student interns and board members. Addresses of employment, residence and family addresses of clients, staff, volunteers, student interns and board members. Names of clients, staff, student interns and volunteers unless the individual provides written permission which is to be approved by the Executive Director. Photographs taken of clients. Volunteers/interns must never release confidential information, either over the phone or in person, about the Center and its clients without the express permission of the Executive Director or a designated staff member. This includes release of information to board members, criminal justice personnel, family members, community supporters or other interested parties. I have read the Center’s Agreement of Confidentiality and agree to abide by its conditions of confidentiality.

The Hays-Caldwell Women’s Center (HCWC) is unable to assume any liability on behalf of volunteers. Please read the following statements releasing HCWC from liability and indicate your understanding by your signature below. LIABILITY RELEASE I AGREE to respect the persons, privacy, and possessions of the clients, staff, and volunteers of the Hays-Caldwell Women's Center and to ensure that my children do the same. I RECOGNIZE that I alone am responsible for my safety and health, the safety and health of my children, and the safety and health of any other persons who might accompany me. I alone am responsible for my (our) possessions. The staff and/or volunteers at HCWC cannot safeguard or be responsible for my children, our possessions, or me. In respect to the services provided by HCWC to me and to those accompanying me, I UNDERSTAND that HCWC assumes no liability or responsibility whatsoever in connection with the services provided, for any act of omission or commission which might be constituted as negligence; nor for any loss, theft, or injury to persons or property; nor, during any transportation by staff, volunteers, or clients to or from any location; nor for any illness, damage, or inconvenience sustained by me, my children, or others accompanying me. I AGREE to hold HCWC, its staff, employees, interns, agents, volunteers, contributors, officers, and directors harmless from any and all claims, demands, debts, responsibilities, and/or liability relating to me, my children, or those accompanying me. By signing below, I certify that I have read and understood the above release of liability.