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Practicum Opportunity Submission Form

We are currently not accepting Practicum opportunity submissions at this time. 

The Practicum Opportunity Submission Form should only be completed by representatives from a North Carolina local health department or the North Carolina Division of Public Health.

Please read the following before completing:

  1. The purpose of this form is to gather important details about open governmental public health internship opportunities as part of the North Carolina Pathways Program.

  2. Please review the entire form before beginning to ensure all required information is ready.  Once submitted, the Pathways Program Team will contact the submitter or primary contact if any edits or additional information is needed.

  3. Upon request, the Pathways Program Team can provide a list of qualified applicants for the posting who meet the minimum required criteria specified in the Opportunity Submission Form. Alternatively, or in addition, an unscreened list of all applicants is also available.

  4. The organization is responsible for selecting a candidate in their preferred manner; while interviews are recommended, they are not required. Once a candidate is selected, the organization's primary contact (as listed in this form) must notify the Pathways Program Team to ensure the candidate is properly enrolled in the appropriate Pathways Program.

Looking to submit an Internship Position instead? Click here to access the Internship Position Submission Form.

Is the primary contact for this opportunity the same individual who will be serving as the preceptor?
Yes
No
Please select the qualifications that the preceptor for this experience will have :

(Select all that apply)

Would you like the Pathways Program Team to provide you with a list of qualified candidates?
Yes – Qualified Candidates List ONLY
Yes – BOTH Qualified Candidates List & Unscreened Applicants List
No – Unscreened Applicants List ONLY

Enter a specific date or state 'Open until Filled'

Will this opportunity be fully on-site, fully remote, or hybrid?
Fully On-Site
Fully Remote
Hybrid
Is this a paid opportunity?
Yes
No

(e.g., meals, parking, technology, etc.)

Does this opportunity require US citizenship?
Yes
No
Please select up to 3 topic areas that best describe the position:
Please select up to 5 work products the individual in this position could potentially work on:
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