Thank you for your interest in interning at the Lexington-Fayette County Health Department. For your convenience, please complete the Internship/Practicum Interest Form below. You will be contacted within two weeks of submission. Today's Date (required) Name (required) Email (required) Academic Institution (required) Asbury UniversityEastern Kentucky UniversityNorthern Kentucky UniversitySullivan UniversityUniversity of KentuckyWestern Kentucky UniversityOther Please list institution name (required) Degree In-Progress (required) AssociateBachelorMasterDoctoral (PhD) Is an internship, service learning experience, observation or rotation required for your degree? (required) YesNo Public Health Areas of Interest (required) AccreditationAdministrationClinic (Nursing)Community Health/Health EducationEnvironmental HealthEpidemiology/Communicable DiseaseHANDSPreparednessWorksite WellnessWIC/Dietetics Internship/Practicum Semester (required) Fall (August-December)Spring (January-May)Summer (May-August) Anticipated Start Date (required) Anticipated End Date (required) Total Internship/Practicum Hours Required (required) Why are you interested in interning at the Lexington-Fayette County Health Department? (required) Computer Skills (required): Other Skills/Trainings/Abilities (required): What are your professional objectives for this internship/practicum? (required) Why are you a great candidate for this internship/practicum? (required) What are your future career aspirations? (required) Academic Advisor's Name (required) Academic Advisor's Email (required) Please Attach Your Resume Additional Comments
