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 Describe any previous experience classescertificates languages other than English or related skills in Health Promotion 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.