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 ā€œPā€ 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.