[DC GOVERNMENT] Student Intern Partnership Program (SIP) Application

OPEN ENROLLMENT PERIOD Student Intern Partnership Program (SIP) Application

Open Enrollment SIP is a 15 -20-week internship program. The expected start date is mid-fall, beginning November 1, 2023, through March 15, 2024. The work hours are flexible and will correspond with the outreach and engagement event or activity in which you will be participating..

Please Note, all sections with (*) are Required

Part I. Applicant Information

Phone Number

School

Year In School (Check one)

Undergraduate

Graduate

Professional School

Recent Grad

Course of Study (Major)

Advisor:

Advisor Email

Education (list degrees)

US citizen:

Yes

Foreign Languages spoken and level of fluency:

Part II. Availability

What is your availability? (Check all that apply) *

What is your availability? (Check all that apply) *
	Morning (8am - Noon)	Afternoon (Noon - 5pm)	Evening (5pm - 9pm)
Sunday	Sunday/Morning (8am - Noon)	Sunday/Afternoon (Noon - 5pm)	Sunday/Evening (5pm - 9pm)
Monday	Monday/Morning (8am - Noon)	Monday/Afternoon (Noon - 5pm)	Monday/Evening (5pm - 9pm)
Tuesday	Tuesday/Morning (8am - Noon)	Tuesday/Afternoon (Noon - 5pm)	Tuesday/Evening (5pm - 9pm)
Wednesday	Wednesday/Morning (8am - Noon)	Wednesday/Afternoon (Noon - 5pm)	Wednesday/Evening (5pm - 9pm)
Thursday	Thursday/Morning (8am - Noon)	Thursday/Afternoon (Noon - 5pm)	Thursday/Evening (5pm - 9pm)
Friday	Friday/Morning (8am - Noon)	Friday/Afternoon (Noon - 5pm)	Friday/Evening (5pm - 9pm)
Saturday	Saturday/Morning (8am - Noon)	Saturday/Afternoon (Noon - 5pm)	Saturday/Evening (5pm - 9pm)

Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Part III. Essay

Explain why you are interested in participating in the DC Health Link Open Enrollment Student Intern Partnership Program (SIP). What do you expect to gain and to learn? (300 words or less) Upload Essay or enter Below

Click Here to Upload

Explain why you are interested in participating in the DC Health Link Open Enrollment Student Intern Partnership Program (SIP). What do you expect to gain and to learn? (300 words or less)

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