Field Internships Application Form

Welcome! Field internship requirements are on the MH field webpage. Once your application has been processed, the Mental Health office will send a confirmation email. After that, it can take 6-8 weeks or more for your placement and permission to register.

Application Deadlines:

Fall Term: July 1st
Winter Term: October 15th
Spring Term: January 1st
Summer Term: April 15th

Last Name:*

First Name:*

EMPLID number:*

Phone number:*

KCC Email address:*

Additional email:

I plan to graduate (semester and year):

I have met the MH course requirements for the field internship (Check the MH Field Internship webpage)

I passed MH11

Yes

No

I don't know

I passed either MH30 or MH35

(you only need one)

Yes

No

I don't know

I passed either MH31, MH34, or MH37

(you only need one)

Yes

No

I don't know

I have met the MH credit requirements for the field internship (Check the MH Field Internship webpage)

(select one):

Yes

No

I don't know

I am a Flex Student (select one):

Yes

No

I don't know

(Flex students have specific internships not listed below. You will be contacted separately.)

This is my 1st or 2nd internship

1st

2nd

2nd Internship ONLY:

Where was your first internship and who was your professor?

I have discussed my course schedule with my advisor.

Yes

No

Applying for

Instructions:

Apply for up to 2 semesters.
The more sites and days you select, the more likely you are to get a seat.
Only rank those that fit your schedule.
To reset the ranking order, Click the button "Reset Ranking Selections Only" at the bottom of the page.
All sites in Brooklyn as of Fall 2025.

Winter 2026 (Fall B) Rank 1-3.

Menorah Nursing Center (Older Adults), 3-week express: Mon, Tue, Wed, Thu 9a-3p

Center for New Directions (Mental Health Center), Tue & Wed 9a-3p

Blue Feather (Children with disabilities), Tue & Wed 9a-3p

Spring 2026 Rank 1-6.

Menorah Nursing Center (Older Adults), Tue 9a-3p

Center for New Directions (Mental Health Center), Tue 9a-3p

KCC Student Wellness and Access-ability Services (College students), Tue 10a-4p

Block Institute (Adults and Children with Developmental Disabilities), Wed 9a-3p

Blue Feather (Children with disabilities), Fri 9a-3p

TENTATIVE: Spring Creek Senior Partners (Older adults), Mon 9a-3p This site is in development.

Summer 2026 (Spring B) Rank 1-3.

Menorah Nursing Center (Older Adults), 3-week express: Mon, Tue, Wed, Thu 9a-3p

Center for New Directions (Mental Health Center), Tue & Wed 9a-3p

Blue Feather (Children with disabilities), Tue & Wed 9a-3p

Anything else you want us to know:

Read the following items carefully. PLACE YOUR INITIALS beside each item to acknowledge that you’ve read this information:

After you submit your application, MH will send you confirmation that you have been entered into our system. It usually takes a month after the program application deadline for your actual placement to be assigned.

Field internships are in person because social services are delivered in person and this is how students learn by doing. The small number of online internships are reserved for students in a special program.

Students are expected to attend their field internship on time without distractions. If you have special circumstances that could impact your ability to attend the internship (work, family, childcare) you must let us know before enrolling in the class.

Some internships require detailed health forms, screenings (blood work) and fingerprinting. You must be able to provide all required documentation before the start of the internship.

Students must take different field placements for their first and second fields to gain different professional experiences within human services.

Once students are placed in an internship and enrolled in the class, they cannot switch to a different field class. If your schedule changes you can apply for the following semester.

Priority is given to students closest to graduation. Students eligible for an internship who have fewer credits than those closer to graduation may be put on a waitlist or asked to apply for the following semester. In 2024-2025, many students below 45 credits were asked to wait until the next semester. We are working on opening new internships.

Once you have initialed the points above, and signed and dated the application, the form will be sent to [email protected].

Sign here to acknowledge you have read and understood these terms:

Sign:*

Date:*

Quick Links

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Field Internship Application

Mental Health and Human Services Program Internship Application