Community Health Initiative (CHI) Internship Application (Student Form)
FOR MORE INFORMATION, PLEASE GO TO THE CHI WEBSITE:
https://bced.umn.edu/CHI/Internship
* Required
Full Name (First & Last)
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Your answer
Street Address (Including Apt or Unit #)
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Cell Phone
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Your answer
E-mail (UofM E-mail ONLY)
*
Your answer
Student ID Number
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Your answer
Anticipated Graduation Date (Month/Year)
*
Your answer
Degree
*
Your answer
Major area(s) of study
*
Your answer
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