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* 1. Applicant Information

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* 2. How did you hear about HPC?

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* 3. Are you a full time student?

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* 4. If you are a student please indicate the following:

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* 5. Are you currently employed?

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* 6. Please indicate for what period or semester you are available for work? We understand availability may change.

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* 7. Please indicate your weekly availability.

  Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Morning (9:00 AM - 1:00 PM)
Afternoon (1:00 PM - 5:00 PM)
Evening (5:00 PM - 8:30 PM)

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* 8. Please tell us about your work experience, starting with the most recent. (Position 1)

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* 9. Please tell us about your work experience.(Position 2)

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* 10. Please tell us about your work experience. (Position 3)

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* 11. HPC is a diverse organization serving many different populations and communities. Please indicate the area(s) in which you are most interested in working.

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* 12. If you have any experience related to the program areas listed above, please describe:

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* 13. Do you speak any other languages besides English?

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* 14. If YES, please indicate your proficiency

  Type Proficiency Level
Language 1
Language 2
Language 3

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* 15. Do you have access to transportation?

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* 16. Please list your computer and software skills:

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* 17. Do you have any external requirements related to this internship position?

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* 18. Why are you interested in working with the Health Promotion Council?

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* 19. What skills and experience would you be able to contribute to the mission and work of HPC?

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* 20. How will this internship advance your academic and professional goals?

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* 21. Please provide two references we can contact in the event you are considered for an internship position. Include Name, Title, Organization, Phone Contact and Email Contact. 

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