HCIP Application Step 1 of 4 - Application Information 25% Welcome to the Application for the 2023 Health Careers Internship Program! All application components must be submitted online. If you have questions regarding HCIP, contact Janice Minott at the Bronx Westchester AHEC at 646-974-8527 or email jminott@bwahec.org APPLICATION DEADLINE: The full application including completed recommendation letters is DUE by May 1st, 2023. Criteria for Participation Must be a college Junior, Senior or Post-Baccalaureate Student as of Fall 2023 with a GPA of 2.9 or higher. Student must have a strong interest in pursuing a career in health care Students must live or attend school in the Bronx or Westchester Must be a United States Citizen or have Permanent Resident Status Program Information The Bronx Westchester (BW) Area Health Education Center (AHEC) is committed to improving the health and health care outcomes of medically underserved communities through the recruitment, retention and enrichment of the future healthcare workforce. The Health Careers Internship Program (HCIP) allows students aspiring toward a career in the health professions the opportunity to work in a health care setting, or community based health related organization, and interact regularly with health professionals. Additionally, students have the opportunity to engage with medical and nursing students during weekly didactic sessions. The program will run from June 26th through August 4th. During this time participants are required to: work at their sites Monday - Thursday, (min. of six hours each day) actively participate in didactic sessions every Friday prepare a final project based on the placement experience attend and present final projects at the closing ceremony Application Instructions The 2023 Application Deadline is May 1st. Applications must be submitted online. Only complete applications will be reviewed. Full Application Components: Online Application, including Basic Information, Health Interests, and Essay Resume: Please upload a copy of your current resume and transcript Recommendations: Please upload two letters of recommendation. At least one should be from a professor, and another should be from an employer, supervisor, or mentor. Please proceed to the next page to start your online application. Basic InformationName* First MI Last Date of Birth* Date Format: MM slash DD slash YYYY Age*What is your gender?*MaleFemaleOtherPrefer not to answerRace/Ethnicity* American Indian or Alaskan Native Asian (Camodia, Malaysia, Pakistan, Vietnam) Asian (China, Philippines, Japan, Korea, India) Black or African American Hispanic or Latino Native Hawaiian/Other Pacific Islander White Other If "Other", please elaborate:*Please list any languages that you speak in addition to English: Are you a U.S. Citizen or Permanent Resident?*YesNoAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If different from aboveCELL Number*HOME Phone NumberEmail Address* College Name and College City/Borough*College MajorCurrent GPA*Anticipated Graduation Date* Health InterestsPlease place a check next to the THREE health careers in which you are <u>most</u> interested:* Alternative Medicine Cardiology Clinical Laboratory Services Dentistry Dietetics Nutrition Emergency Medicine Family Medicine Gynecology Health Administration Mental Health Neurology Nursing Optometry Orthopedic Medicine Pediatrics Pharmacy Forensic Science Public Health Social Work Therapy & Rehabilitation Other If "Other", please elaborate:*Please place a check next to the health issues you are interested in knowing more about:* Asthma Cancer Diabetes Drug Abuse/Alcoholism Domestic Violence Environmental Health Health Disparaties Heart Disease HIV/Aids Hypertension (High blood pressure) Obesity Mental Health Sexually Transmitted Infections Teen Pregnancy Other If "Other", please elaborate:*Do you have any family members who are health professionals? If yes, what do they do?*How did you hear about this program? Family Member Friend Former Participant School Website Other If "Other", please elaborate:*Have you applied to this program before? If yes, when?*Please discuss your health career goals and indicate any unique qualities, experiences and other relevant information that makes you a strong candidate for this program. * Application Consent FormI understand that only completed applications returned to AHEC by Friday, April 9th will be reviewed.* Yes I understand that there are limited internship positions available and that a completed application does not guarantee an interview or placement.* Yes Resume & Transcript UploadPlease upload a copy of your current resume and transcript in the fields below.Resume*Transcript*Letters of RecommendationIn order for your application to be processed, we must first receive two letters of recommendation. At least one must be from a teacher or faculty member. Letters from relatives are not accepted.First Recommender Email Second Recommender Email If you do not know the email address of your recommender(s), you may provide them with the following link to fill out the recommendation form: http://bwahec.org/hcip-recommendations