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Internship Application Form

Internship Application Form

  • Please complete this form and upload your cover letter, resume, and unofficial transcripts.


    Please indicate the school you are currently enrolled in, the type of degree program, and your major in the spaces below.
  • MM slash DD slash YYYY
    Given PBIL's internships are offered throughout the year, enter the start date of when you would be available to begin an internship.
  • MM slash DD slash YYYY
    Given PBIL's internships are offered throughout the year, enter the date of when you would no longer be available to intern with IDPH.
  • MM slash DD slash YYYY
    Please note that your submitted data will be deleted after your program completion date, as you will no longer be eligible for an internship position.

  • Drop files here or
    Max. file size: 100 MB.
      Upload your cover letter, resume and unofficial transcripts.

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