ACCESS CHRC Student Internship Application
ACCESS Community Health and Research Center student internships are unpaid internship practicum experiences coordinated with a school program. For students interested in completing an internship at the ACCESS Community Health and Research Center, please submit this form by the indicated deadline below depending on your anticipated start date. For questions and inquiries, contact Corey Beckwith at

Application Deadlines*
Fall (September - December): July 15th
Winter (January - April): November 15th
Summer (May - August): March 15th

*For students completing a mental health internship, the preferred application deadline is 6 months before desired start date.

** If you are interested in volunteering with the ACCESS CHRC rather than a student internship, or interested in volunteering with another department, see for more information.
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Name *
Email Address *
Phone Number *
Current Address *
Academic Institution *
Are you a current student? *
Eligible students must currently be enrolled in an academic institution.
Degree Program and Concentration *
Please indicate both the degree sought out (ex. Master of Public Health, Bachelor of Arts) as well as your major/concentration in that degree program (ex. Health Behavior Health Education).
Grade Point Average (GPA) *
We require a 3.0 minimum GPA for consideration.
Current Employment Status *
Do you speak any other languages besides English? *
Academic Reference *
Please indicate a name, title and email address for an academic reference at your institution (ex. Dr. Jane Doe, Research Supervisor, that would be available for contact to discuss your application. We will verify current student eligibility status with your reference.
Internship Season *
Our internship program works in three seasonal cycles: Fall, Winter, and Summer. While exact dates are subject to discussion and mutual agreement, please select the cycle that best fits your availability.
Credential/Supervision Requirements
For students completing a mental health/counseling internship only, please indicate what credentials (if any) you require from a supervisor in order to complete your internship.
Topic Area/Program Interests *
While our projects vary depending on the time of year, we have a variety of public health programs at CHRC that may be of interest to students completing their internships. Please indicate all topic areas of high interest to you.
Skills-Based Interests *
Please indicate the skill(s) you are most interested in attaining or building upon through your internship with ACCESS.
How many hours per week are you required to or would like to spend at ACCESS? *
At ACCESS, we require a minimum of 8 hours per week for student interns. Please select the desired number of hours that you would be willing to commit. You may select multiple options to indicate flexibility.
What is your daytime availability? *
What days of the week are you available? (Check all that apply) *
How did you hear of the internship program at ACCESS? *
Anything else you would like us to know?
Disclaimer *
I certify that my answers are true and complete to the best of my knowledge. If this application leads to an internship assignment, I understand that false or misleading information in my application may result in the immediate termination of my student internship.
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