Internship Host Interest Form

Form Management

Thank you for your interest in HCC. Please provide your contact information below so that we can follow up with you. We look forward to connect with you!
Contact Information

Hosting Interest

*Current intern recruitment, match & placement fee. Costs include a stipend to the intern for 10-weeks, full time in your organization.


Summer or Fall/Winter HASC College to Career Diversity Internship Program

Thank you for your interest in CDIP-HCC. Please provide your contact information below to alert HCC of HASC Member enrollment. We look forward to connecting with you!



Your Organization Information

Organization Department that will be hosting the intern(s)




Region where your organization is located.

Type here to provide details about your need and priorities in hosting an HCC intern. For example: need help with structuring internship program, access to diverse talent, etc.

Type here to provide information on your priorities and desired skills for intern(s). Example: ‘Our agency will place interns in Accounting, Administration, Claims, Community Benefit, Development/Foundation Relations, ER, Government Relations, HR, IT, Health Education, Population Care, Quality Improvement, etc.” “We seek the following skills: {list related skills requested.}
Internship Referral Contact









Region where your organization is located.





Contact Information