2008 SUMMER INTERNSHIP APPLICATION

2008 SUMMER INTERNSHIP APPLICATION APPLICATION DEADLINE: This application must be received by FEBRUARY 25, 2008: 11:59 PM Health Career Connection (HCC) is a non-profit organization that provides paid internship opportunities to undergraduate students interested in pursuing careers in health care and public health, including health policy, administration & management, community health and health education. We also offer a limited number of Boston-based internships in the nursing field, and possibly some in speech pathology and physical therapy. While all students are eligible, we strongly encourage students of color to apply as HCC has a commitment to increasing the number of healthcare leaders and professionals from all ethnic groups. HCC also has a priority emphasis on students interested in eliminating health disparities and improving access and care for underserved populations. Students apply into the HCC program, not specific positions. Placement decisions are made based on intern interests and qualifications and site availability at the time of final selection. Guidelines for this internship are:  Internships are full time (approximately 40 hours/week) educational opportunities that last 10 continuous weeks (from early-June through early-September). All candidates must be able to commit to ten continuous weeks within this time frame.  Attending summer school or studying for standardized tests while pursuing this internship is strongly discouraged.  Internships are in New England (Boston, Connecticut, and Rhode Island), Northern California (Sacramento, San Francisco Bay Area and San Jose) and Southern California (Greater Los Angeles and San Diego), and New Jersey and New York.  HCC does not cover relocation costs, housing, or transportation.  Payments to interns average $4,000 - $4,500 per internship.  Based on applicant’s interests and skills set, selected finalists will be placed within prominent healthcare/public health organizations (hospitals, academic medical centers, community clinics, medical groups, health plans, health departments, & advocacy groups)  Through an apprenticeship model, each student is paired with a preceptor who will serve as a mentor and guide, sharing their experience and wisdom.  Interns will have the invaluable opportunity to participate in seminars and workshops, which are incorporated in the summer schedule as well as other important professional conferences and networking events. Students from ALL fields, including but not limited to, the Health Sciences, Public Health, Healthcare Policy and Management, Community Health, Business, Political Science, Sociology, Biology, Biochemistry and PreMedicine (with a strong interest in public health or administration) are welcome to apply. INSTRUCTIONS Your complete application package should include the following: 1. Completed application form 2. Current resume (please refer to item III in this form) 3. Statement of purpose (please refer to item IV in this form) We strongly encourage you to submit this application electronically (available at www.healthcareers.org) via email it to the appropriate addresses listed at the end of this application. If necessary, you can also mail or fax it to the addresses listed at the end of the application by February 25, 2008 at 11:59 PM Page 1 of 5 NAME: Last Name First Name MI Home Phone: E-Mail Address: CURRENT ADDRESS: Street City State ZIP PERMANENT ADDRESS (if different than above) Home Phone: Street Email Address: City State ZIP I. EDUCATION: Please list information about your current program Name and Location of School/Institution Dates (From-To) Major Diploma or Degree Date Degree Awarded or Expected To To II. GRADE POINT AVERAGE: Please calculate your grade point average as follows: 1. Based on all undergraduate course work: 2. For undergraduate courses in your major: 3. For graduate work (if applicable): III. RESUME: Please attach a current resume which should include your education, a brief description of your work experience with particular emphasis on any paid or voluntary experience related to your career goals; membership affiliation in any student or professional organizations; personal interest, names, contact information, and titles of two references. Other supplemental information will not be considered and will delay the review process so please do not send any extra documents or information. Please use the following format to name your resume attachment file: HCC2007_firstnamelastname_resume.doc Page 2 of 5 IV. STATEMENT OF PURPOSE: On a separate sheet or saved file (saved as HCC2007_firstnamelastname_statmentofpurpose.doc), please state your reasons for wanting to pursue this healthcare internship. Your statement should address the following: (Please limit statement to one page)       Your career objectives Future professional and educational plans What is motivating you toward your objectives How this internship will help you in pursuing your objectives/plans Briefly describe your ideal internship experience Why you feel you should be selected  Other information that would help HCC evaluate you as a candidate V. HEALTH-CARE RELATED COURSE WORK: Please indicate any health-care related course work completed: Course Title Institution Grade VI. PREFERENCES AND CONSTRAINTS: 1. Will you be available to participate full-time (40 hrs/week) during your ten-week internship? (i.e. 8am or 9am-5pm) YES NO If NO please explain: 2. Would you be available after 5 PM for program events? YES NO If NO please explain: 3. Are you considering attending Summer School? (Note: Attending summer school is STRONGLY discouraged) YES NO 4. Do you have access to a car in your preferred geographic region? YES NO 5. Would you be willing to volunteer if paid position is not available? YES NO Page 3 of 5 6. Please indicate your preferences for the type of internship organization (Check all that apply) Hospitals (academic, community or private) Community Clinics Medical Groups Policy or advocacy organization HMOs and other health plans Health Departments Vender of Healthcare products/technology Other: 7. Please rank the types of internship experience you are applying for (rank only types that apply). Rank them in priority order by placing a number in the box (1 being the highest). Health Policy and Management Health Education Other Public Health ___________ Community Health Pre-Medicine (not solely clinical) The Following internships are available (possibly) only in Boston Nursing Speech Pathology Physical Therapy 8. Given that HCC does not offer relocation assistance, transportation or housing, please specify your geographical preferences and constraints regarding your internship placement site. Indicate the two top regions where you can do a summer internship. Clearly indicate your top choice with a X in the box. Indicate one second choice that you could also do by filling in the number “2” in the long text box next to the region. Submit your application to your top choice region only.. Also list any preferred specific areas within regions, if applicable (Sacramento, Brooklyn, etc.). Selecting more than two choices does NOT increase your chances for acceptance into the HCC internship program. Northern California: Please specify all that apply (e.g. East Bay, San Francisco, Peninsula, Sacramento) Southern California: Please specify all that apply (e.g. San Diego, Los Angeles, Orange County, Inland Empire, Other) New England: Please specify (e.g. Boston, Rhode Island) New York and New Jersey: Please specify (e.g. Brooklyn, Manhattan) Page 4 of 5 VIII. STATISTICAL INFORMATION (OPTIONAL) Please check all that apply: Black/ African American/African Descent Latino/ Latina Native American/ Alaskan Native White/ Caucasian Korean Hmong Black/ African American/African Descent Male Female East Indian/ Pakistani (or other South Asian) Chinese/ Chinese-American Vietnamese Thai Cambodian Filipino/Filipina Other: VIII. REFERRAL SOURCE (How did you hear about HCC?) Name and email Address From presentation on my campus or other location Where? From a professor or college advisor: From a posting at our campus career center or other campus site HCC Flyer From a posting on a List-serve Which one? From a website Which one?: From HCC Staff or Directors Who?: From HCC Alumni Who?: From HCC website: From the HCC booth or presentation during campus career fair or other campus event Other: Completed application packets must be received by February 25, 2008 at 11:59 PM at the following address: amukherjea@healthcareers.org Health Career Connection c/o Arnab Mukherjea PO Box 5823 Berkeley, CA 94705 Fax: Please email info@healthcareers.org if you have any questions. Page 5 of 5

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