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Internship Application Form

Internship Application Form

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

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

  • SCHOOL INFORMATION

    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.
  • INTERNSHIP PREFERENCES

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

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