Student Assistance Request

Thank you for your interest in in partnering with the University Of Iowa College of Public Health. Please complete the form below to the best of your ability to request an internship or practicum student for any program or project related to public health. Please submit only one request per project.

Once the request is submitted, a representative from the University of Iowa College of Public Health will contact you within three business days of your request to discuss next steps or gather more information if necessary. Emergent requests will be met more quickly. Please contact cph-careers@uiowa.edu for questions.

Workforce Development Project Application

First Name

Last Name

Job Title

Name of Organization

Street Address

City

ZIP code

Phone

Do you have a project coordinator other than yourself?

Additional coordinator first name

Additional coordinator last name

Additional coordinator title

Additional coordinator organization

Additional coordinator email

Additional coordinator phone number

Additional coordinator street address

Additional coordinator city

Additional coordinator state

Additional coordinator ZIP code

Do you have a project or initiative in mind?

Project/Support Description

Expected Project Start Date

Expected Project Completion Date

Expected Number of hours for Project Completion

Anticipated Number of Students Needed or Student Positions Available

Level of Student Expertise Expected

Undergraduate

Master’s

Doctorate

Not sure

What, if any, pre-certifications or pre-trainings may be required?

What type of need for student assistance do you require?

What type of workplace environment do you require?

Is this position paid or unpaid?

NOTE: Projects are not required to include compensation. Student accepting unpaid roles might be eligible for support through University of Iowa resources.

Pay rate or range

Provide address of this activity, if different from organization address

Email address of the person to whom students should submit their resume and cover letter

If you are human, leave this field blank.