TRINITY COLLEGE
HEALTH FELLOWS PROGRAM - STUDENT APPLICATION
SPRING 2009

Application due date: October 17, 2008

The Basics
Name:
Major:
Class:
Campus Box:
Phone:
Cell:
Campus Address:
Assigned Faculty Advisor:
Name of Trinity faculty member who would be willing to discuss your qualifications for this program with
the Health Fellows faculty:
Academics/Experience
1.  Indicate your current
grade point average:
2.  What was your favorite
course and why?
3. Describe any research experience you have had, and with whom:
4.  Describe any of your volunteer or work experience that may be pertinent to your work as a Health Fellow:
5.  Areas of healthcare in which you already have an interest, if any: 
6.  Have you thought about what your career plans might be after graduating Trinity? If so, what are they?:
7.  Which of the following method(s) of transportation would you have access to in order to get to your placement?
(check all that apply)
Internship Shuttle Car Harford City Bus
Bicycle Walk Other (specify)
8.  We offer placements in three different settings.  Although there is no guarantee where you will be placed, please rank in order of preference, (if any), where you would like to conduct research:
Laboratory-Based Research
Hospital-Based Research
Clinic-Based Research
** Please be aware that IF you are accepted into the program, your supervisor/mentor may be one of the following: a physical therapist, occupational therapist, speech therapist, nurse, dietician, social worker, doctor, physician assistant, or Ph.D.
9.  If we are not able to accommodate your primary choice or area of interest, would you still be willing to participate in the program?   Yes     No   
10.  Initials - By initialing this, you have indicated that you understand the terms of the Health Fellows Program, that is, if accepted into the program, you will participate in both the placement AND seminar.
   

11.  Lastly, please write a 1-page essay on your reasons for wanting to participate in the Health Fellows Program and copy and paste this essay into the text field to the right.

DO NOT try to compose your essay in the field to the right. If your browser crashes, you will lose all of your work.

 


12.  After submitting this form, you must provide a copy of your college transcript to:

Kathy Mallinson
Coordinator, Health Fellows Program
Administrative Assistant, Science Center
107 Clement

Questions: call Kathy at 297-4008 or email kathy.mallinson@trincoll.edu