Internship Application Form
Any question please email us at info@ihahealthcare.com
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
How did you hear about us?
*
Please Select
Internet
Linkedin
Instagram
Facebook
Other
University
Type NA if you are not a student
Degree program
Type NA if you are not a Student
Accumulative GPA
Omit if you are not a student
Do you have access to a personal computer or other equivalent technology for use during your internship? (Your answer to this question will not affect your eligibility as an applicant - we only ask to be prepared)
*
Yes
No
Program Applying To
Please Select
Medical internship
Public Health Internship
Global Health Internship
Dental Internship
101 Research
Global Health Research Internship
Medical Shadowing internship
During which term(s) are you interested in an internship with us? (Check all that apply. You will be considered as an applicant in every cycle that you select here.)
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Fall 2025
Winter 2025
Spring 2026
Summer 2026
Fall 2026
Winter 2026
Why do you want to be a part of this internship or program?
*
Why are you a good fit for this internship or program?
*
Why should you be selected over other applicants?
*
What is a strategy you use to help you handle stressful situations?
*
Tell me about a time where you successfully collaborated with others.
*
Our staff and community volunteers are committed to ensuring that your program is safe, professional, and fun. It is important that participants, faculty, and staff understand and agree to the following IHA community expectations: We expect all our students and staff to act with respect towards each other. Intolerant, disrespectful, or disruptive behavior towards others will not be tolerated and could result in dismissal from the program. Your relationship and communications with our staff, fellow students, and any community volunteers should be strictly professional. As professionals in a medical environment you are expected to abide by HIPPA guidelines and are not to share any patient photos or confidential information with anyone, including on social media. We expect our community members not to misrepresent their identities or their personal/professional records. our agency IHA reserves the right to remove any applicant or student from the registration/admissions process and program for engaging in, or having engaged in, conduct that faculty or staff determine violates this code of conduct or otherwise negatively impacts the learning environment. The cancellation policy will be applied in these instances. If you have any questions or need further clarification, please reach out to a member of our program staff. I have read and agree to all the items above
*
Yes
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