Summer 2025 HCC Internship and Health Equity Scholars Programs Application Registration

WELCOME TO THE HCC INTERNSHIP AND HEALTH EQUITY SCHOLARS PROGRAMS REGISTRATION FORM!

Thank you for your interest in Health Career Connection (HCC)’s comprehensive paid Summer Internship and Health Equity Scholars programs! We are dedicated to empowering students like you to discover and achieve your health career goals. Spend your summer in an experiential learning internship program designed to develop the next generation of diverse health professionals and leaders. We look forward to receiving your application!

Please complete this registration form to start the application process for both the Summer Internship and the Health Equity Scholars programs. Once completed, you will receive an email with your unique link to complete your application to be part of our 35th cohort!

The deadline to apply for the summer 2025 programs will be on DATE, 2024.

Applicants will be notified of their application status and notice of interview by January 2025.

QUICK LINKS

CONTACT INFORMATION

First Name

Middle Name

Last Name

Preferred Name

Enter the name you'd like us to use when addressing you, whether it's a nickname, shortened name, or any name you identify with. Example: If your full name is "Catherine" but you go by "Cat", please enter "Cat".

Name Pronunciation

Use simple phonetics or familiar words to describe the pronunciation. Example: If your name is "Siobhan", you might enter "Shi-vawn".

Enter Primary Email Address

Confirm Primary Email Address

Email Doesn't Match Message

Emails match?

Enter Secondary Email Address

Enter Mobile Phone

Current Address

Street Address Line 1

Street Address Line 2

City

Country

State/Territory

Postal/Zip Code

Is your permanent address the same as your current address that you entered above?

YesNo

Permanent Address

Street Address Line 1

Street Address Line 2

City

Country

State/Territory

Postal Code

Hometown

Where do you consider your hometown to be? (City, State). Your hometown is defined as where you lived primarily growing up, or the community with which you have the strongest connection or affinity.

EDUCATION

Undergraduate Education

Begin typing the name of your college or university in the box below, and select it from the auto-suggestions that appear. If your institution does not appear in the list, please select "Other College or University" from the search suggestions, and then type the name of your college or university in the subsequent text box that appears.

University/College:

Begin typing the name of your college or university in the box below, and select it from the auto-suggestions that appear. If your institution does not appear in the list, please select "Other College or University" from the search suggestions, and then type the name of your college or university in the subsequent text box that appears.

Specify Other College or University

City:

State/Territory

Current Class Standing:

Date Started

Expected Graduation Date

Graduation Date

Major(s):

Minor (if applicable):

Affiliations

Academic Enrichment and Career Programs

There are many programs (e.g. pathway, pipeline, magnet, linked learning, and enrichment) at colleges, universities, high schools or in the local community that provide support and services such as tutoring, mentoring, scholarships, and exposure to careers. We are interested in knowing if you have participated in any programs like this before.
Refer to HCC’s list of common partner and pathway programs.

Have you participated in any academic enrichment, academic support, and/or career development programs before?

YesNo

Please search and select the program(s) that you have participated in previously. If a program you participated is not listed, select "Other Programs," then use the box below to specify.

To add multiple options, click on "Add another response" below.

Select all that apply. To select multiple options, hold down the ctrl or cmd key to select more than one option in the list.

If you participated in any academic enrichment, career, and/or health pathway program not listed above, please specify here:

Are you an alumnus of one of the following HCC programs?

Internship ProgramHealth Equity Scholars ProgramBoth ProgramsNeither

If yes, what Year did you complete your HCC Internship Program?

Click on "Add another response" if you have completed multiple HCC internships.

If yes, what Year did you complete your HCC Health Equity Scholars Program?

Click on "Add another response" if you have completed multiple HES programs.

Have you applied to HCC before?

YesNo

If yes, what Year did you apply?

Click on "Add another response" if you have applied to add multiple years.

HOW DID YOU HEAR ABOUT HCC?

Source:

Please specify

Referred by:

Did you register for an HCC informational webinar?
Webinar registration and / or attendance is not required to apply.

YesNo

If you have not registered for an HCC informational webinar, click here to register for an upcoming webinar.

If yes, did you attend an HCC Informational Webinar?

YesNo

Submitted Registration Form

Yes