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. If you have any questions, please call (859) 899-4237. 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