* 1. Applicant Information

* 2. How did you hear about HPC?

* 3. Are you a full time student?

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

* 5. Are you currently employed?

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

* 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)

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

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

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

* 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.

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

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

* 15. Do you have access to transportation?

* 16. Please list your computer and software skills:

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

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

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

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

* 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.