2022-2023 PSI Community Partner Application Deadline to Apply: Rolling Intern Interviews: April 4-8, 2022 (Exact time TBD – based on Site Supervisor and Student availability) Host Organization Orientation: TBD Intern Orientation: Spring Semester Required Contribution to Student Stipend: We request a small contribution to be redistributed to students as stipends for their service. Fees are due February 2023. $500 for Tier 1 (Org budget of less than $500k) $1,000 for Tier 2 (Org budget of $500k-1mil) $1,500 for Tier 3 (Org budget of $1mil+) Number of Interns: The PSI team will do our best to honor the number of interns you request, however due to capacity we cannot always guarantee multiple interns for each site. Before submitting an application, please review the Community Partner Responsibilities and Expectations below. In order to be considered, your designated Supervisor must be available for a community partner orientation on August , 2022. For the short answer questions, we recommend writing your responses in a separate document and saving it before inputting, as answers will be lost if you navigate away from the page. If you have any questions, please contact Emily Adsit at emilyadsit@berkeley.edu. Community Partner Responsibilities and Expectations Attend program kickoff and orientation on August 9 2022 Participate in intern interviews (April 4-8, via Zoom/Google Meet, or at organization’s office/site) Expose interns to operations in your organization Provide sound supervision by an experienced staff member Ensure open lines of communication with the intern and staff Develop a job description for the intern that outlines duties to be fulfilled Finalize a schedule (to be co-created with the intern) that outlines times, hours, and days per week worked Complete all program evaluation requests The Public Service Internship program connects students with Bay Area social justice issues through policy, community organizing, and direct service internships. The PSI program engages students throughout the year in an exploration of ways of making meaningful change in their chosen issue area. Students meet as a cohort throughout the year to build leadership and professional skills. I. Organization Information Organization Address What is your organization’s budget? –None–Organization budget of less than $500KOrganization budget of $500K-$1 millionOrganization budget above $1 million Organization Name Please list key organization issue areas. –None–Anti-racismArtsEducationEnvironmentFinancial LiteracyFood JusticeGovernmentHigher Ed Public ServiceHousing/HomelessnessHuman RightsImmigrationLatino WorkersLawNeighborhood DevelopmentOlder AdultsPovertyPublic HealthPrison Industrial ComplexSportsYouth Empowerment –None–Anti-racismArtsEducationEnvironmentFinancial LiteracyFood JusticeGovernmentHigher Ed Public ServiceHousing/HomelessnessHuman RightsImmigrationLatino WorkersLawNeighborhood DevelopmentOlder AdultsPovertyPublic HealthPrison Industrial ComplexSportsYouth Empowerment –None–Anti-racismArtsEducationEnvironmentFinancial LiteracyFood JusticeGovernmentHigher Ed Public ServiceHousing/HomelessnessHuman RightsImmigrationLatino WorkersLawNeighborhood DevelopmentOlder AdultsPovertyPublic HealthPrison Industrial ComplexSportsYouth Empowerment Is your office accessible by public transportation? –None–YesNo If yes, by which BART/AC Transit lines? II. Supervisor Information Supervisor First Name Supervisor Last Name Pronouns Supervisor Email Supervisor Phone Supervisor Title Is the proposed intern supervisor a full-time staff member? –None–YesNo Description of supervisor’s job and role in your organization III. Internship Description Internship Title Agency Description: Describe the program(s) the intern would be working with. Include each program’s mission, description of the population served, and all program activities. Work Schedule: Outline the proposed work schedule for an intern. Indicate whether there are mandatory days when the intern would be needed. NOTE: Interns are able to work approximately 8-10 hours/week for a total of 180 hours from September 2022 to April 2023, excluding University holidays and breaks. Please describe the skills and qualities that an intern working with your program should possess. Student Learning: List at least three things that the intern might learn about Direct Service, Organizing, or Policy/Legislation while in this position. IV. Intern Responsibilities In the spaces below, break down the intern’s time to describe the general job categories the intern will be responsible for. Below each category, please use the space to specify the individual duties and activities associated with each responsibility. The percentage of time spent on all categories should add up to 100%. Please note: We aim to place interns with organizations focused in the areas of Direct Service, Organizing or Policy/Legislation. Below duties should relate directly to those areas of focus and not be clerical in nature (minor clerical responsibilities are acceptable as part of the overall internship. The majority of the role should be project based). Intern Duty #1 Category –None–Attending/Planning Community EventsCivic EngagementCommunity Mapping/AssessmentEducationLeadership DevelopmentPolicy ResearchVolunteer recruitment/managementOther: Please Describe % of time Description Intern Duty #2 Category –None–Attending/Planning Community EventsCivic EngagementCommunity Mapping/AssessmentEducationLeadership DevelopmentPolicy ResearchVolunteer recruitment/managementOther: Please Describe % of time Description Intern Duty #3 Category –None–Attending/Planning Community EventsCivic EngagementCommunity Mapping/AssessmentEducationLeadership DevelopmentPolicy ResearchVolunteer recruitment/managementOther: Please Describe % of time Description Intern Duty #4 Category –None–Attending/Planning Community EventsCivic EngagementCommunity Mapping/AssessmentEducationLeadership DevelopmentPolicy ResearchVolunteer recruitment/managementOther: Please Describe % of time Description We look forward to receiving your application. Before clicking “submit”, please make sure that you have filled in all fields completely. Incomplete applications will NOT be reviewed. You will receive an email confirming that we received your application clarifying next steps. We will be in touch with you about our final decisions by Tuesday, February 22, 2022. Thank you for your interest in hosting a Public Service Intern!