Come on IN!
Join the MHC Intern & Researcher Network (IN)
This form will enroll you in the Intern & Researcher Network program, allowing you to connect with other interns, researchers, organizations, and internship support resources.
Name (Last, First):
Name (Last, First):
Class Year
Class Year
Major(s):
Major(s):
Minor:
Minor:
Email:
Email:
Internship/Research Host Information
Internship/Research Host Information
Organization Name (or "independent"):
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Please select the industry or focus area of your internship/research project (select one or more):
Please select the industry or focus area of your internship/research project (select one or more):
Art
Business/Finance
Education
Environmental
Government/Policy
International Development
Journalism/Comm/Publishing
Law
Marketing
Non-Profit
Science/Medicine
Other
Internship Position or Research Project Title:
Internship Position or Research Project Title:
Project Information
MM
DD
YYYY
Project Start Date
Project Information Project Start Date Month
/
Day
/
Year
Project End Date
Project End Date Month
/
Day
/
Year
Hours per Week
Hours per Week
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