Internship Interest Form - Larimer County Department of Health & Environment

Internship Interest Form

Thank you for your interest in internship opportunities with the Larimer County Department of Health & Environment. Completing this form does not guarantee an internship. You will be contacted if there are opportunities that become available.
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
School you are currently attending*
Type of education program you are currently enrolled in:*
If other please specify.
Highest level of Education Completed*

High schoolSome collegeUndergraduate degreeMaster's DegreeOther education or professional licensure
If you currently have a degree, what is it in?*
Please specify primary area of study, degrees, education, or professional licensure*
How long of a commitment will you make?*
How many hours do you need to fulfill?*
Is this a specific school program requirement? Which one?*

CapstonePracticumOtherNone
When will you graduate?*

MonthDayYear
Are you proficient in any language other than English? Please specify*
What program area are you interested in?*
Please describe why you are interested in working for Larimer county Health and Environment*
Please describe what skills and experience you hope to gain by working with Larimer County Health and Environment*
When would you be interested in starting?*

MonthDayYear
When would your end date be?*

MonthDayYear
How did you find out about this opportunity with Larimer County Health and Environment?*

Referred by staffReferred by friendLarimer County websiteOther
Should be Empty: