University of South Florida – College of Public Health
Florida Public Health Training Center (FPHTC)
Funded Field Placement Opportunity
Funded by the U.S. Department of Health and Human Services
Health Resources and Services Administration (HRSA)
All fields are required.
Please email a copy of your RESUME to:
(Assistant Program Planner),
June 27, 2013
July 1, 2013
The following are required of a HRSA Field Placement Intern:
Familiarity with the Association of Schools of Public Health Core Competencies for MPH students and incorporation of as many interdisciplinary and discipline-specific competencies as possible into the field experience.
Successful completion of the mid-semester and final reports.
Successful completion of HRSA demographic profile and supplemental evaluation.
Student intern should have completed the required hours by the last day of classes of the semester.
Commitment to adhere to USF College of Public Health Field Placement Program requirements and professional code of ethics.
Current Mailing Address:
Permanent Mailing Address:
Personal E-mail Address:
School E-mail Address:
Department/Concentration of Study:
Completed Credit Hours:
Expected Date of Graduation:
Do you have a reliable mode of transportation?
Available days of the week and times for field placement:
1. Explain why you are interested in a field experience in a medically underserved area. (250 words minimum)
2. Describe any past/current work experience that has prepared you for an experience in a medically underserved area.
3. Describe the knowledge and skills you hope to gain as a result of your participation in this field experience. (250 words minimum)
4. Upon completion of your graduate studies, would you be inclined to work in a setting that has been identified as a medically underserved area? Please explain. (250 words minimum)
Before submitting, please print a copy of this application for your records.