Pre-Health Internship Application
***If you have not yet met with an academic advisor, please schedule an appointment to verify you meet the criteria and/or to discuss internship course selection prior to applying. Please note, students who are placed through PHIP must enroll for an internship course.  Thank you.

To be eligible for placement, students must have completed at least 45 credit hours AND be of junior/senior status and have a GPA of 3.0 or higher. Selection criteria may differ per site and program.
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Student Name: *
Student ID Number: *
Contact E-mail Address *
Student phone number *
Semester enrolling for: *
We are currently accepting applications for Fall 2024 only
Anticipated graduation date: *
Internship Course *
Please provide the internship course you will enroll in, if provided an internship. Students are required to enroll in an internship course for credit to participate in a clinical internship. **For those students interested in an ER internship (BIO 390), the course has a separate application. Please visit  https://prehealth.asu.edu/internships/healthcare-internships  to complete the application for BIO 390. **
Major: *
Campus Location *
Number of semester hours completed *
Please include transfer hours.
Cumulative GPA: *
Have you previously completed an internship? When? Where? *
Please provide the name of your advisor/coordinator. Did you confirm with your program advisor/coordinator to ensure you meet the Pre-Health Internship criteria? *
Students must meet with the appropriate advisor/ before applying to PHIP. Applications submitted without the appropriate advisor listed will not be considered for placement.
What are your goals and objectives for your Pre-Health Internship? *
If Pre-Med/PA, please list any areas of interests you would like to experience. Ex: Exposure to Orthopedics; Learn about Holistic Medicine; Interest in Hospice Care
Please select your professional career pathway *
Required
Do you have any certificates, licenses, or prior medical healthcare experiences? Do you speak any other languages?
Ex: Pharm Tech, CNA, etc.
Please select only the areas you can travel to for the internship *
Required
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