First Name *

Last Name *

Email Address *

Complete Physical Mailing Address *

Street Address, City, State, Zip Code

Phone *

###-###-####

University *

Degree *

—Please choose an option—BSW - Bachelors in Social WorkMSW - Master in Social Work: Pre-degreeAssociate Clinical Social Worker: Post-degreeMFTT - Marriage and Family Therapist Trainee: Pre-degreeAssociate Marriage and Family Therapist: Post-degreePCCT - Professional Clinical Counselor Trainee: Pre-degreeAssociate Professional Clinical Counselor: Post-degreePre-Doctoral Practicum - BAPIC: Pre-degreePre-Doctoral Intern (non-CAPIC): Pre-degreePost-Doctoral Fellow: Post-degreeOther - Specify in Cover Letter

This will be my first clinical placement *

YesNo

Languages Spoken (Other than English) *

NoneSpanishFrenchChineseHindiArabicOther (Please indicate in Cover Letter)

Intended Start Date *

Winter/January 2025Spring/April 2025Summer/June 2025Fall/August 2025Other (specify timing in cover letter)

Population(s) of Interest *

CHILDREN & FAMILIESINFANTS & PRESCHOOLELEMENTARY & MIDDLE SCHOOLSCHOOL BASEDADOLESCENTSTRANSITIONAL AGED YOUTHFOSTER YOUTHADULTSCRIMINAL JUSTICESUBSTANCE USELGBTQ

Counseling Center (FULL)
The center offers affordable community-based counseling services for children, adolescents, adults and families.

Crisis Center
The Crisis Center operates the 24/7 crisis intervention and suicide prevention hotline fielding calls, texts and chats from both local and national hotlines in which crisis counselors provide crisis intervention, suicide risk assessments, safety planning, and compassionate connection.* Additionally, the Crisis Center facilitates mental health and suicide prevention-focused presentations, as well as postventions following a crisis to local school districts, non-profit organizations, government agencies, and community-based organizations as another service that broadens the awareness of mental health and fosters resilience and support throughout the county.
* Crisis Center internships consist of a minimum of one 4-hour hotline shift per week. Can be combined with another StarVista internship.

Daybreak
Transitional housing program that provides independent living skills training and mental health support for homeless teens aged 16-21.

Differential Response (bilingual Spanish preferred)
Home visiting and case management service for families that have been reported to Child Protective Services and evaluated as low-risk. Case managers help link families to resource centers, in-home therapy, and other services in schools and the community.

Early Childhood Services Department (bilingual Spanish preferred)
This program provides mental health consultation, early intervention and clinical services to the families and caregivers of children birth to age 5. Interventions are aimed at strengthening the social-emotional development and school readiness of our community’s high- risk children.

Foster Youth Education Enrichment Services (BSW only) (FULL)
This program provides one-to-one, strength-based counseling, support and enrichment services that promote academic achievement for foster youth from kindergarten through eighth grade.

Insights
Youth outpatient drug and alcohol recovery program that empowers the youth to take responsibility and facilitate lasting change. Case management, individual, group and family counseling are used to help participants learn about anger management, relationships, mental health and communication skills.

San Mateo County Pride Center
Intensive counseling, education and support services for individuals and families in the LGBTQ+ community. The Center is a partnership between StarVista, Peninsula Family Service and Outlet of Adolescent Counseling Services.

School-Based Services
Mental health services in elementary, middle and high schools throughout San Mateo County. Services include assessment, crisis intervention, individual and group therapy, family therapy and consultation with parents, teachers and other school staff.

I am interested in learning about an optional opportunity to gain additional training and experience working in crisis

Attach Cover Letter *

Please Name Attachment: First Initial. Last Name Cover Letter (ex: J. Smith Cover Letter)

Max Size: 2mb. File Types: PDF, PNG, JPEG

Attach Resume or CV *

Please Name Attachment: First Initial. Last Name Resume or CV (ex: J. Smith Resume or J. Smith CV)

Max Size: 2mb. File Types: PDF, PNG, JPEG

Submit 2 or 3 Letters of Recommendation:

If you are unable to attach at least 2 letters of recommendation to this application, please notify Jennifer Sheridan via email at trainingprogram@star-vista.org. In the email be sure to include information about when and how the letters of recommendation will be received. Additionally, please include the recommender's name so recommendation letters can be more easily matched with application materials.

Electronic or email submission is preferred. Recommenders can email letters directly to trainingprogram@star-vista.org.

If you do not have, or are unable to obtain electronic copies, please have letters faxed to 650-591-3600 or mailed to: StarVista, ATTN: Jennifer Sheridan, 610 Elm Street, Suite 212, San Carlos CA 94070.

Letter of Recommendation (1)

Please Name Attachment: First Initial. Last Name Letter 1 (ex: J. Smith Letter 1)

Max Size: 2mb. File Types: PDF, PNG, JPEG

Letter of Recommendation (2)

Please Name Attachment: First Initial. Last Name Letter 2 (ex: J. Smith Letter 2)

Max Size: 2mb. File Types: PDF, PNG, JPEG

Letter of Recommendation (3)

Please Name Attachment: First Initial. Last Name Letter 3 (ex: J. Smith Letter 3)

Max Size: 2mb. File Types: PDF, PNG, JPEG

If offered a placement at StarVista, I can make a 10-12 month commitment *

YesNo, I need to discuss my availability