agoras health Intern Application Form

1
Full Name* This field is required.Please write your full legal name (including middle name) here
First Name
Middle Name
Last Name
2
Birth Date* This field is required.Your Date of Birth Month-Day-Year format
Month
Day
Year
3
Email Address* This field is required.What is the best email to reach you? Please provide your personal email.
example@example.com
4
Please enter your University Email Address* This field is required.If you don't have an .edu email please write N/A
example@example.com
5
Phone Number* This field is required.What is the best phone number to reach you? Please provide your personal cell phone.
6
LinkedIn* This field is required.Let's be friends on LinkedIn!
7
Current Address* This field is required.If we sent some swag, where can we send it to?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
What is the highest level of education you have completed?* This field is required.
High School (attended but didn't graduate)
High School Graduate
Some College (First Year / Second Year)
College Senior (Graduating by December 2024)
Graduate School ( Year 1) Masters
Graduate School (Year 2) Masters
Graduate School (Year 3) PhD
Graduate School (Year 4) PhD
Doctoral Degree (PhD completed)
Other
9
How did you hear about us* This field is required.We're curious how you found us!
Please Select
Please Select
LinkedIn
Event
Social Media
Company Website
Family / Friend
Other
10
Position Applied* This field is required.Please select which position you are interested in.
Please Select
Please Select
Data Science- Intern
Sales Manager - Intern
Product Associate - Intern
Product Advisor - Intern
Chief of Staff - Intern
11
Available Start Date* This field is required.If you are selected for the role, what is the earliest day you would be available to start the internship?
Month
Day
Year
12
At agoras health, we strive to build an inclusive and respectful culture. How would you describe yourself? Please use the toggle below to rate on the 6 point scale :* This field is required.There is no right or wrong answer to this question--don't think too hard when answering :)
Audacious
Generous
Open Minded
Resilient
Accountable
A Steward
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Audacious
Generous
Open Minded
Resilient
Accountable
A Steward
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At agoras health, we strive to build an inclusive and respectful culture. How would you describe yourself? Please rank on the 6 point scale (1 being the lowest and 6 being the highest) :)* This field is required.There is no right or wrong answer to this question--don't think too hard when answering :)
Rank 1-6
Audacious
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Generous
Row 1, Column 0
Open Minded
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Resilient
Row 3, Column 0
Accountable
Row 4, Column 0
A Steward
Row 5, Column 0
Audacious
Generous
Open Minded
Resilient
Accountable
A Steward
Rank 1-6
Row 0, Column 0
Rank 1-6
Row 1, Column 0
Rank 1-6
Row 2, Column 0
Rank 1-6
Row 3, Column 0
Rank 1-6
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Rank 1-6
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A few more questions :) * This field is required.
Yes/No
Do you have a valid driver's license ?
Yes
No
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Will you now or in the future require Visa Sponsorship to continue working in the United States?
Yes
No
Row 1, Column 0
Do you have a valid driver's license ?
Will you now or in the future require Visa Sponsorship to continue working in the United States?
Yes/No
Yes
No
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Yes/No
Yes
No
Row 1, Column 0
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Type Why are Cherry Blossoms called Cherry?* This field is required.This isn't a trick question lol
16
Are you comfortable with remote work?* This field is required.This isn't a trick question lol
17
On a Scale of 1-10 how lucky do you believe you are in life?* This field is required.There is no right or wrong answer to this question--please don't think too hard when answering :)
18
On a Scale of 1-10 how lucky do you believe you are in life?* This field is required.There is no right or wrong answer to this question--please don't think too hard when answering :)
19
On a Scale of 1-10 how weird do you consider yourself?* This field is required.There is no right or wrong answer to this question--please don't think too hard when answering :)
20
Please check boxes with your skillset. Only check boxes with skills you are proficient in.* This field is required.
Python
SQL
JavaScript
R
C++
Other Machine Learning Tools
Generative AI Applications
SharePoint
Product Management
Product Development
Scrum Master
Agile Methodology
NLP
Deep Learning
Statistics
Neural Networks
Applied Mathematics
Data Visualization
Cloud Computing
AWS
Algorithms and Applied Math
Project Management
Microsoft Generative AI
Azure OpenAI Service
Solution Architecture
Large Language Models
Microsoft Copilot
Prompt Engineering
Software Development Life Cycle (SDLC)
Operations Management
Coordination and Administration
Organization Management
Time Management
Prioritization Skills
Volunteering (non profit or pro-bono work)
Communication Skills
Media & Branding
Fundraising
Marketing
Social Media Management
Social Media Marketing
Negotiation Skills
Content Creation Skills
Sales
Other
21
Upload Your Resume* This field is required.please upload pdf version of your resume :)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
22
Cover Letter (Optional)Our cover letter is optional, but feel free to write down more information that would help us get to know you!
23
Please verify that you are human* This field is required.We're just making sure you're not a bot lol
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