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

We ask that you answer the questions that follow with as much care and detail as possible.
Name *
Address *
Telephone (Daytime) *
Telephone (Evening)
Email *
Date of Birth *
Citizenship *
Country(ies) of Citizenship
Passport Number *
Over what dates would you like to intern? *
What is the date range that you are available to intern?
Are you most interested in interning in the area of:
Clear selection
What languages do you speak? *
How did you learn about the Save a Child's Heart program? *
Please describe any kind of community involvement you have participated in *
Include social, professional, religious and neighbourhood programs, highlighting volunteer activities
Describe any cross-cultural experience you have had *
Please be sure to include any study abroad, international and volunteer work experience
Briefly describe some of the skills and strengths that you feel would be relevant and beneficial for the SACH internship program *
(i.e. Skills related to kids, education, organizing events, fundraising, music & art, etc.)
Please describe why you would like to intern for Save A Child’s Heart and what you believe you can contribute to the organization *
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