The University of North Carolina at Chapel Hill
Skip to main content
UNC School of Medicine | Department of Psychiatry

ACT Team Directory

ACT TEAM DIRECTORY REGISTRATION FORM

NC ACT Coalition Internship Network Complete this form to be listed in the statewide intern placement directory

Address
Intern Capacity: MSW (Graduate Social Work)
BSW (Undergraduate Social Work)
MA Counseling
BA Psychology
BA/BS Human Services
In 2–3 sentences, describe what interns will gain from a placement with your team. This will appear in the directory.

ATTESTATION 

By submitting this form, I confirm that our ACT team: 

  • Meets the minimum requirements outlined in the NC ACT Coalition Internship Hosting Standards Guide 
  • Agrees to provide supervision and learning experiences consistent with those standards 
  • Understands that schools will provide their own affiliation agreements and evaluation tools 
  • Commits to maintaining an accurate listing and notifying the Coalition of any changes in capacity or supervision