Internship Position Submission Form

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

Key Dates:

June 15-26: Fall '26 Internship Applications Open to Students
July 10: Partners Receive Applicant List/*Strong Candidates List
August 3: Final Candidate Selection Due From Partners
August 24: Earliest Fall '26 Internship Start Date

*if requested by partner (see note #3 below)

Please read the following before completing:

The purpose of this form is to gather important details about open governmental public health internship opportunities as part of the North Carolina Public Health Pathways Program (NCPHP).
Please review the entire form before beginning to ensure all required information is ready. Once submitted, the NCPHP Team will contact the submitter or primary contact if any edits or additional information is needed.
Upon request, the NCPHP Team can provide a list of qualified candidates for the posting whose skills and experience are a strong fit for the position based on the information provided in this submission form. Alternatively, or in addition, an unscreened list of all applicants is also available.
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 must notify the NCPHP Team to ensure the candidate is enrolled in the program.

Agency/Organization Name

Agency/Organization Website Link

Primary Contact First Name

Primary Contact Last Name

Primary Contact Email

Is the primary contact for this opportunity the same individual who will be serving as the supervisor?

Yes

No

If answered 'Yes' above, please skip the next two questions.

Supervisor Full Name

Supervisor Email

Would you like the NCPHP 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

To help foster a cohort-based experience, we ask that students begin their internship by Monday, August 31, and work with their internship site for at least 12 weeks, through Friday, November 20. Internship sites are welcome to work with their students beyond the 12-week program if desired.

Preferred Internship Start Date required

Students should begin their internship no earlier than August 24 and no later than August 31.

Preferred Internship End Date

If you would like to work with your intern beyond November 20, please indicate that here.

How many hours per week is the intern expected to work? If there is no specific time commitment, please indicate that here.

Will this opportunity be fully on-site, fully remote, or hybrid?

Fully On-Site

Fully Remote

Hybrid

If fully on-site or hybrid, please provide the location details (i.e., office address)

If hybrid, please provide the number of hours per week the intern is expected to work on-site and any other details related to the hybrid schedule.

Is this a paid or unpaid opportunity?

Paid Internship

Unpaid Internship

If this is a paid internship, what will the compensation be, or what is the range of funding available?

Does the agency/organization provide any non-monetary benefits during the position's duration? (e.g., meals, parking, technology, etc.)

Does this opportunity require US citizenship?

Yes

No

Position Title:

Please provide a 1-2 sentence position summary:

If selected ‘Other’ please list the topic area:

Please describe the roles and responsibilities of the position:

If selected ‘Other’ please list the work products:

Please list the required skills and experience:

Please list any preferred skills and experience:

Is there anything else you would like us or students to know about this opportunity?

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BENEFITS & FAQS

Internship Position Submission Form

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

Key Dates:

June 15-26: Fall '26 Internship Applications Open to Students

July 10: Partners Receive Applicant List/*Strong Candidates List

August 3: Final Candidate Selection Due From Partners

August 24: Earliest Fall '26 Internship Start Date

*if requested by partner (see note #3 below)