National Rural Health Association Internship Application

Student Information

Student name: *

Address *

City *

State/Province/Region *

Zip/Postal Code *

Country *

Email *

Preferred Phone Number *

Academic Information

College/University Affiliation: *

School Address: *

State *

City *

Zip code *

Degree Seeking: *

Anticipated Graduation Date: *

G.P.A.

Will you seek credit for this internship? *

Preferred internship timeframe. Please select all that apply . *

Spring (January-May)

Summer (June-August)

Fall (September - December)

Other internship timeframe (non-semester based, project based, or no timeline) Other internship timeframe (non-semester based, project based, or no timeline)

Anticipated Beginning Date for Internship, If Known. +

Anticipated End Date of Internship, If Known. +

Applicant Documents

Which NRHA Internship are you interested in? *

Are you interested in a virtual or hybrid internship? *

Hybrid

Virtual

Applicant’s CV or Resume *

In 250 words or less, explain why you are interested in the internship (Communications - Virtual, Government Affairs - In-Person or Hybrid, or Program Services - Hybrid) you selected above. *

In 100 words or less, please list your area(s) of interest: *