Dietetic Internship Program Application

Graduate Record Exam (GRE) results*
If taken, include a copy with your application.

*GRE is not required for acceptance into program.
Date Taken
Month/Year
Verbal Score
Quantitative Score
Analytical Writing Score
GRE Results (if applicable)

Cancelof

Education: List all colleges or universities attended, with most recent listed first. *
Recommendations: List the names of the 3 individuals who will complete your recommendation forms. *
Honors and/or extracurricular activities after beginning college*
List organizations, appointed or elected offices held, scholarships, honors, and certifications received. Include dates for honors.
Professional organization memberships*
List professional organizations of which you are a member.

Work experiences in the past five (5) years

List all experiences, including volunteer, beginning with the most recent.
Indicate if the experience was paid, volunteer or part of a practicum/field experience associated with a college course.

Briefly describe key responsibilities. When indicating the amount of hours, use hrs/wk for reoccurring work and volunteer experiences and total hours for limited time volunteer and practicum/field experiences. (Note: if you have professional dietetics work experience from over five years ago, you may include it.)

Please upload a cover letter/personal statement*

e.g. Why are you interested in our program? What inspired you to pursue this major? What do you hope to achieve from your time with us?
Cancelof
I certify the information I have provided in this application is true and accurate and recognize any false or incorrect statements made herein will be grounds for my dismissal from the program. I understand I must provide an original copy of a signed Verification Statement substantiating completion of academic requirements prior to start date of program. *

Clear
The University of Memphis does not discriminate against students, employees or applicants for admission or employment on the basis of race, color, religion, creed, national origin, sex, sexual orientation, gender identity/expression, disability, age, status as a protected veteran, genetic information or any other legally protected class with respect to all employment, programs and activities sponsored by the University of Memphis. The following position has been designated to handle inquiries regarding non-discrimination and anti-harassment policies: Director for Institutional Equity/Title VI Coordinator, oie@memphis.edu, 156 Administration Building, 901.678.2713. The University of Memphis policy on nondiscrimination can be found HERE.
Should be Empty: