Here are some important forms for the Internship and Special Project:
fall 2019 and after cohorts
Internship Proposal Packet
This packet contains the Internship Proposal Form and Work Plan. This packet is completed by the student intern and submitted to the APE Coordinator after obtaining the proper signatures and detailing the work plan. Only students with an approved proposal will be registered for internship credits.
pre-Fall 2019 cohorts
Internship and Special Project Proposal
This form is to completed by the student intern and submitted to the Internship Coordinator after obtaining the proper signatures. Only students with an approved proposal will be registered for internship credits.
MPH Core Competencies
This is a list of the MPH Core Competencies for reference. During their internship, students must address a minimum of 5 public health competencies, at least three of which are MPH foundational competencies.
Internship Time Log
This form must be used to log your internship hours. The form must be completed by the student and signed by the preceptor.
Internship Evaluation
This form is to be completed by the student intern as a means to evaluate their internship experience. It must be submitted no later than Public Health Day.
Special Project Presentation Assessment
This form is completed by faculty to evaluate student oral and poster presentations on Public Health Day.
Additional APE Hours Approval Request
Please use this form to submit a request for approval for additional APE or Public Health Service hours.
Public Health Service Timelogs
Students should be tracking their PHS hours throughout their time in the program.
Public Health Service Factual Reports
Students should complete a factual report for each public health service opportunity.