CCPH Internship Program Application

If you will be in WA or OR for the duration of your internship, please select "yes".*

Otherwise, thank you so much for your interest in an internship with Clark County Public Health! We will not be able to process your application at this time.

Yes

No

Phone Number*

Phone

Email*

Thank you so much for your interest in an internship with Clark County Public Health!

We regret to inform you we are not currently taking high school interns or anyone under the age of 18.

How did you hear about us?

Select or enter value

Please be specific.

If referral, who referred you to us?

If other, please specify.

School Information

School Name*

School Address*

Please include city, state and zip.

Brief description of major/education.*

Please specify*

Current Degree (if any)

Advisor Name & Title*

Advisor Email*

Advisor Phone Number*

Phone

Internship Request Details

Please provide the following information to help us determine if this is an internship experience we can reasonably provide. Our placement availability is based on mutual needs.

Approximate start date*

Approximate end date*

What other areas are you interested in?*

Are there any program or certification requirements that we need to be aware of?*

For example: CEPH or program competencies that must be met through activities and deliverables, etc.

Are there other school internship requirements?*

For example: 200 required hours, credit hours, internship journal, etc.

Yes

No

Brief description of school requirements.*

Required Questions

Briefly respond to the following questions.

Please share why you are interested in an internship at Clark County Public Health. What do you hope to gain from this experience?*

Describe the skills and expertise you would bring to the internship.*

List software and level of proficiency (e.g., beginner, intermediate, and advanced)*

For example: beginner in using Adobe Pro, intermediate in Google Suite and cloud, advanced in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), etc.

List any languages spoken, read, or written other than English, and level of proficiency (e.g., basic, conversational, proficient, or fluent).*

For example: conversational in Italian, fluent in Spanish, etc.

Supporting Documentation

Upload any supporting documentation you want to include like, CV, resume, cover letter, letter of recommendation, etc. PDF is the preferred file format.

Drag and drop files here or

Demographic Information

Demographic information is optional and collected for program tracking purposes only.

Prefer to self-describe

Signature