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Internship Inquiry Form
Thank you for your interest in internship opportunities with Preventive Measures and the PM Foundation. Please complete this short inquiry form and someone from our team will be in touch with you. Thank you.
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1
Name
*
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First Name
Last Name
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2
Email
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example@example.com
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3
Phone Number
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Please include area code.
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4
Location
*
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Pennsylvania
Washington, DC (DMV)
Georgia
New Jersey
Other
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5
What College/University are you attending?
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6
What is your anticipated graduation date?
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Date
Year
Month
Day
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7
Type of internship you're seeking:
*
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Clinical
Corporate
Other
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8
What department would you like to intern with?
*
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Mental Health (Clinical Supervision)
Home Health
Human Resources
Compliance
Marketing
Information Technology (IT)
Billing & Finance
Research
Other
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9
Level of internship you're seeking:
*
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Bachelors
Masters
Other
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10
How many service hours are needed?
*
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11
What type of clients are you interested in working with?
*
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Please select all that apply.
Adults
Children
Other
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12
What is your availability?
*
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Please select all that apply.
Mornings
Afternoons
Evenings
Weekends
Other
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13
Please upload your most current academic transcript.
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Max. file size
: 10.6MB
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14
Please upload a copy of your resume.
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