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Medical Internship Application
Please take the time to fill out this application form:
Please send your CV and a letters of reference from a professor or employer to
leadership@saveachildsheart.org
.
We ask that you answer the questions that follow with as much care and detail as possible.
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Name
*
Your answer
Address
*
Your answer
Telephone
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Your answer
Email
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Your answer
Date of Birth
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DD/MM/YYYY
Your answer
Citizenship
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Country(ies) of Citizenship
Your answer
Passport Number
*
Your answer
Over what dates would you like to intern?
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What is the date range that you are available to intern?
Your answer
Are you most interested in interning in the area of:
ICU
Cardiology
Surgery
Other:
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What languages do you speak?
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Your answer
How did you learn about the Save a Child's Heart program?
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Your answer
Please describe any kind of community involvement you have participated in
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Include social, professional, religious and neighbourhood programs, highlighting volunteer activities
Your answer
Describe any cross-cultural experience you have had
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Please be sure to include any study abroad, international and volunteer work experience
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Briefly describe some of the skills and strengths that you feel would be relevant and beneficial for the SACH internship program
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(i.e. Skills related to kids, education, organizing events, fundraising, music & art, etc.)
Your answer
Please describe why you would like to intern for Save A Child’s Heart and what you believe you can contribute to the organization
*
Your answer
Option 1
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