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Internship Application for McLaren Medical Group
McLaren - Hospitals in Michigan and Ohio
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Internship Application for McLaren Medical Group
*McLaren Medical Group - Intern Application
Note:
Fields marked with an
*
indicates required field
First Name:
*
Middle Initial:
*
Last Name:
*
E-mail Address:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Home or Cell Phone:
*
In case of emergency, contact - include name and phone:
*
Relationship to Emergency Contact:
*
Have you ever worked for McLaren Health Care or its affiliates, directly or through an agency or as a contractor?
*
yes
no
If yes, please provide location, and last month/year worked:
*
Are you currently attending school?
*
yes
no
Please list school or university:
*
Please choose the type of internship you are interested in
*
Please Select Type
Billing Coding
Exercise Physiologist
Medical Assistant
Nurse Practitioner
Patient Access Rep or Receptionist
Physician Assistant
Sonography
Are you applying to intern to meet an academic requirement?
*
yes
no
School Placement Coordinator/Counselor Name:
*
School Placement Coordinator or Counselor Phone Number:
*
Which department/areas are you interested in?
*
If known, which department and supervisor will you be interning with?
*
What is the length of the internship?
*
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