Community Health Initiative (CHI) Internship Application (Student Form)
FOR MORE INFORMATION, PLEASE GO TO THE CHI WEBSITE:
https://bced.umn.edu/CHI/Internship
NOTE: RESUME & COVER LETTER to be submitted to Nedy Windham at
windh003@umn.edu
AT THE SAME TIME as the application! Incomplete applications (including all document submittals) will not be considered for an internship if not submitted in a timely manner.
* Required
Full Name (First & Last)
*
Your answer
Street Address (Including Apt or Unit #)
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Cell Phone
*
Your answer
E-mail (UofM E-mail ONLY)
*
Your answer
Student ID Number
*
Your answer
Anticipated Graduation Date (Month/Year)
*
Your answer
Degree
*
Your answer
Major area(s) of study
*
Your answer
Next
Page 1 of 4
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities.
Report Abuse
Forms