Internship Application

FORM – English

Required Contact Information




Internship Application




When would you like to do your internship?
Spring
Summer
Fall





BRHD requires a minimum: 16 hrs/week, 150 hours total

What Division are you applying for? (Check One)

Health Promotion

Nursing

Substance Abuse

WIC

Environmental Health


Please list 3 references:







Please indicate which areas you would be available to conduct activities for the Bear River Health Department. Insert “P” for preferred location:

 

I affirm that this application contains no misrepresentation or falsification and that the information is true and complete. I understand I will also be required to undergo/pass a background check and drug screen and will be given more information on cost/instruction upon acceptance of this application.

 

Please attach your resume

Max File Size: 2MB

Or for larger files provide a public link to DropBox, or GoogleDrive, so that we can download your files:

Digital Signature

By typing your name below, you are signing this form electronically. You agree to, and understand, all the information you are submitting:

Click the SEND button only once. It will take just a moment to process your information. You will receive a confirmation email if your submission was successful.