Student Internship Application – General First Name * Last Name * Mobile Phone * Email Address * Student Physical Address Address 1 Address 2 State or Province Please Select…AlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutD.C.DelawareFloridaMicronesiaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMarshall IslandsMichiganMinnesotaMissouriMarianasMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoPalauRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyomingMilitary AmericasMilitary Europe/ME/CanadaMilitary PacificAlbertaManitobaBritish ColumbiaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory City Zip School Contact College / University City State or Province Please Select…AlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutD.C.DelawareFloridaMicronesiaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMarshall IslandsMichiganMinnesotaMissouriMarianasMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoPalauRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyomingMilitary AmericasMilitary Europe/ME/CanadaMilitary PacificAlbertaManitobaBritish ColumbiaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory Program or Area of Study List your school or program title (School of Nursing Medical Assistant). Enter your program of study’s EAA Code Is your program accredited? Blank Yes No First Name of Program Instructor Last Name of Program Instructor Phone Email Tell us about you Degree Level Certificate or DiplomaAssociate’s DegreeBachelor’s DegreeMaster’s DegreeDoctorate Degree Expected Graduation Date MM/YYYY What is your current GPA Do you currently work for Halifax Health? Blank Yes No If so, what is your employee ID number? Desired type of position/department placement Why should we consider you for placement at Halifax Health? Please limit your entry to 500 characters.Student Internship Desired start of Internship? mm/dd/yyyy Desired end of Internship? mm/dd/yyyy Who referred you to Halifax Health School AdvisorHalifax Health Team MemberPrior StudentWebsiteHalifax Health Office of Student Placement If applicable, provide the name of Halifax Health Team Member who you have had communications with:
Connected articles Computerworld Names Halifax Health to…DAYTONA BEACH, FLA. – (June 25, 2019) – On June 17, IDG’s Computerworld announced Halifax... Harris and Kerrutt Recognized As…DAYTONA BEACH, FLA. – (May 30, 2019) – Halifax Health recently honored two registered nurses... Bridger and McLaughlin Recognized As…Halifax Health DAISY Award winners: (L-R) Amber McLaughlin and Erin Bridger DAYTONA BEACH, FLA. –... Kelly Parsons Kwiatek Named Halifax…DAYTONA BEACH, FLA. – (January 11, 2019) – Kelly Parsons Kwiatek has been named senior... Williams Promoted to Chief Nursing…DAYTONA BEACH, FLA. – (January 10, 2019) – Tonja Williams, MSN, DNP, RN has been... Halifax Health Physician Carrie G.…DAYTONA BEACH, FLA. – (December 27, 2018) – Carrie G. Vey, M.D. has been elected... Astrid Gonzalez-Parrilla Named Scholar in…DAYTONA BEACH, FLA. – (December 4, 2018) – Astrid Gonzalez-Parrilla, executive director of rehabilitation services... Meghan Cochrane, DO Joins Halifax…Meghan Cochrane, DO DAYTONA BEACH, FLA. – (December 3, 2018) – Meghan Cochrane, D.O. has... For Second Consecutive Year Halifax…Members of Halifax Health’s donation collaborative team. (L-R) First Row: Kelly Vaglica and Greg Tumblin. ... Feasel Named to Florida Hospital…DAYTONA BEACH, FLA. – (October 16, 2018) – Halifax Health President and Chief Executive Officer... English, Stadler Recognized As Halifax…DAYTONA BEACH, FLA. – (October 3, 2018) – Halifax Health recently honored two registered nurses... Computerworld Names Halifax Health One…Halifax Health Information Technology Team Members DAYTONA BEACH, FLA. – (June 21, 2018) – Halifax... Edwards Named Halifax Health Team…DAYTONA BEACH, FLA. – (June 5, 2018) – Halifax Health recently recognized top employees at... Stephen Viel, M.D., Named Medical…DAYTONA BEACH, FLA. – (April 23, 2018) – Stephen Viel, M.D., a board-certified emergency medicine... Halifax Health Named A Top…DAYTONA BEACH, FLA. – (April 10, 2018) – Halifax Health has been recognized as one... Geyer, Wood Recognized As Halifax…DAYTONA BEACH, FLA. – (April 6, 2018) – Halifax Health recently honored two registered nurses... Martin Named Halifax Health Trauma…DAYTONA BEACH, FLA. – (April 4, 2018) – Lindsay Martin has been named the trauma... Smith Named Fund Development Specialist…DAYTONA BEACH, FLA. – (March 23, 2018) – Emily Smith has been named the fund... Dr. Edwin Prevatte Named Doctor…DAYTONA BEACH, FLA. – (March 9, 2018) – On Monday, March 5, Edwin Prevatte, MD,... Poole, Monast Recognized As Halifax…DAYTONA BEACH, FLA. – (March 19, 2018) – Halifax Health recently honored two registered nurses...
