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PRCHN Internship Application
PRCHN Internship Application Summer 2019
Date of Application (MM/DD/YYYY)
Full Name
Current Address
Permanent Address
Email Address
Phone Number (Home) including area code
Phone Number (Cell) including area code
Please indicate desired internship session:
Please indicate the specific position for which you are applying (if any):
What are your desired start and end dates for this internship?
Would your commitments outside of the internship offer enough flexibility to accommodate small changes (for instance, working different hours during a week when a supervisor is out)?
How did you hear about Case Western Reserve University's Prevention Research Center for Healthy Neighborhoods (PRCHN)?
Is this internship required to fulfill an academic obligation?
Are you allowed to accept payment for this internship?
Would you accept this internship if it is unpaid?
What do you hope to gain from this internship?
Cleveland is a metropolitan area with several low-income neighborhoods. This job may require you to be out in those areas and interacting with neighborhood residents. Do you feel comfortable with this?
Do you currently hold a valid driver's license?
The PRCHN and Case Western Reserve University value diversity. Are you comfortable working with diverse populations?
What are your internship interests?
Please check your level of experience using SPSS
Please check your level of experience in using SAS
Please check your level of experience in using R software
Have you had experience with:

Have you completed a training course in human subjects in research? (not a requirement for application to the internship program)
Current of most recent university; include name, city and state. (School and GPA required of all students.)
Expected Graduation Date
Degree and major (include minor if applicable)
GPA (if applicable)
Please list chronologically other colleges or universities you have attended, dates attended, and grade point average.
School: City, State: Dates Attended: Major/Minor: GPA
School: City, State: Dates Attended: Major/Minor: GPA
List any scholastic honors and/or licenses.
Please provide TWO references (one of which must be an academic reference). Please provide a phone number, relationship to you, and email address.
Please complete you application by uploading and attaching the following documents as PDF files: 1) A copy of your current resume or CV via PDF; 2) A one-page essay via PDF indicating why you are interested in a PRCHN internship; your long-term career interests, and what you hope to achieve during the internship; and 3) A copy of your human subjects research training certificate of completion (if you have one). Be sure your last name is a part of the file name AND on each document.
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

7 + 4 =