CIVIC Health Services Internship for Underrepresented Community College Students Application Form

The Center to Improve Veteran Involvement in Care (CIVIC), located at the VA Portland Health Care System, is sponsoring a paid internship for community college students to gain hands-on experience in health services research. Interns work directly with mentors and research teams to contribute to research on ways to improve quality and access to care for our veteran population. Individuals interested in working in healthcare or research may find this internship particularly insightful.

This internship is intended for community college students from groups historically excluded and underrepresented in research. This includes individuals who are Black, Native American, Alaskan Native, Native Hawaiian, Pacific Islander, or Hispanic or Latino, as well as other underrepresented groups. Please see the Eligibility section below for a full list of criteria.

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* 1. Enter your contact information:

Full Name

Email Address

Phone Number

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* 2. Upload Resume

Please upload a 1-page resume.

PDF, DOC, DOCX file types only.

Choose File

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* 3. Upload unofficial transcript

PDF, DOC, DOCX file types only.

Choose File

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* 4. Briefly describe how you meet the eligibility requirements of the internship.

Cover Letter

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* 5. Describe what you would like to get out of this internship experience.

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* 6. Describe your educational and professional goals.

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* 7. List the 1 or 2 project areas listed on the internship webpage you would be interested in working on. Describe why you chose these projects.

References
Please provide names, titles, and contact information for each reference (ex. Bob Smith, Manager, 503-000-0000, bob@email.fake).

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* 8. Reference 1

Name

Title

Email Address

Phone Number

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* 9. Reference 2

Name

Title

Email Address

Phone Number