Health Policy Internship: Organizational interest form
The La Follette School of Public Affairs at UW-Madison is excited to launch our undergraduate Certificate in Health Policy, and we'd love to know more about your organization.

Thank you for answering just a few questions about your organization! Although we would prefer to identify a majority of internships that are in person, we will also consider remote internships. After you submit the form, we'll be in touch about next steps.  
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Email *
What is your first name? *
What is your last name? *
What organization do you work for? *
Where are you located? (City, State) *
What is your organization's geographic scope of work?  (please check all that apply)
What unit(s) or department(s) might be able to host an intern?
How would you prefer an intern to work with you?
Clear selection
When might you like to host an intern? (Check all that apply) *
Required
How likely is it that your organization could pay a part-time intern?
Unable to pay an intern
Definitely will pay an intern
Clear selection
What is your phone number (including area code)?
Thank you for completing this questionnaire! A La Follette staff member will be in touch soon.
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