QUICCC Global Health Internships
S umme r Pro je c ts 2014 A ppl i c ati o n
Please completed the application on the folling pages to apply to
participate in the QUICCC Global Health Internship.
This complete application is due via email to Nicolle Marinec (stecn@umich.edu) by
5pm EST on Friday, December 13, 2013. Please insert your first initial and last name
in the title of the application document. E.G. Nmarinec_QUICCC Internship
Application 2014.doc.
Please read the application carefully and respond to all applicable questions. Thank
you!
QUICCC Global Health Internship – 2014 Summer
Projects Application
DUE: Friday, December 13 @ 5pm EST
Name:
Email:
Phone number:
Current degree program:
[ ] Public health: Epidemiology
[ ] Public health: Biostatistics
[ ] Public health: Health behavior health education
[ ] Public health: Health administration
[ ] Public health: Environmental health
[ ] School of Information
[ ] School of Medicine: Year: ______
[ ] School of Nursing
[ ] School of Social work
[ ] School of Public Policy
[ ] Other: ___________________________
PROJECT A REA S & LEA D ERS HIP POS ITION S
RELEVANT EXPERIENCE
1. Please attach a copy of your CV/resume and briefly highlight (3-5 sentences) your
relevant experiences related to public health, research, community-based service
delivery, and/or working with Latino communities.
2. Describe any relevant experience and previous leadership positions you have had.
SHORT ANSWER_(200 words or less)
1. Why are you interested in being part of QUICCC’s Global health internship this
summer?
2. What skills/knowledge/experience do you hope to gain from your participation in
this project(s)?
3. What do you plan to contribute to this project and as a member of the team? What
specific skills or qualities do you think would make you a good fit for this
project?
4. What is your personal philosophy regarding global health activities? What
principles or attitudes do you adhere to in approaching an international service
learning experience?
S PA N IS H B A CKGROU N D
1. Describe your background in Spanish language, e.g. are you a native speaker, how
many semesters/years did you study Spanish in high school/college, have you done
any self-study in Spanish or studied abroad?
2. How would you rate your ability to read, write and communicate verbally in Spanish?
Native Spanish speaker ....................................... □ Yes
□ No
Reading
[
[
[
[
[
]
]
]
]
]
Fluent
Advanced
Intermediate
Beginner
Willing to learn
Writing
[
[
[
[
[
]
]
]
]
]
Fluent
Advanced
Intermediate
Beginner
Willing to learn
Speaking
[
[
[
[
[
]
]
]
]
]
Fluent
Advanced
Intermediate
Beginner
Willing to learn Spanish
Comprehension
[
[
[
[
[
] Fluent
] Advanced
] Intermediate
] Beginner
] Willing to learn Spanish