Kalamaoo County

Health and Community Services Department


PUBLIC HEALTH INTERNSHIPS AND PRACTICUM APPLICATION

Complete and submit the form below. You will receive a confirmation email within 48 hours from the Internship Coordinator.

* Denotes required field
* Name:
* Address:
* City:
* State:
* Zip:
* Email:
* Academic Institution:
* Degree Program:
 
* Major:
* Minor:

 

Are you applying for this public health experience with the intention of receiving college or university credit? *
If yes, please complete following sections:
Faculty Advisor at Academic Institution:
  Name:
  Phone:
  Email:
Faculty contact for Internship/Practicum (if different that above):
  Name:
  Phone:
  Email:

 

Type of Exprerience Requested:
 
 
 
Duration of Experience Requested:
 
 
  (Please specify):
Which internship(s) would you like to apply for? Please list all you are interested in by their titles.
   

 

Please provide a short description of what you hope to accomplish while participating in a public health internship or practicum at KCHCS:
   
* Resume:
Allowed file types: pdf, doc, docx
Maximun file size: 5 MB
* Verification Code: (This helps prevent automated e-mails.)
 
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[Note: KCHCS requires background check and drug screen for all department Interns. Influenza Vaccination is required for all Interns who will be in the department between the months of October 1st to April 30th]



Kalamazoo County Health & Community Services is committed to providing equitable, culturally competent care to all individuals served, regardless of race, age, sex, color, national origin, religion, height, weight, marital status, political affiliation, sexual orientation, gender identity, or disability.

Links to external sites do not constitute endorsements by Kalamazoo County.