Fillable Andrews Institutue-Executive Physical Program - Internship Profile UWF revised2

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Andrews Institutue-Executive Physical Program - Internship Profile UWF revised2

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University of West Florida
Health Education Program
Prospective Internship Site Profile
1. Location: _______________________________ Date Completed: _____________________
City State
2. Agency: __________________________________________________________________________
3. Agency mission/purpose: ____________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
4. Agency website (if applies): __________________________________________________________
5. Contact: __________________________________________________________________________
6. Address: _______________________________________________________
Street/P.O. Box Suite#
______________________________________________________
City State Zip
7. Phone: (______) _______-_____________ 8. Email Address: ______________________________
9. ___Non-Paid ___Paid (amount) $_______________
10. Other benefits (i.e. housing, health insurance, travel reimbursement, etc.):______________________
____________________________________________________________________________________
____________________________________________________________________________________
11. What type of interns does your agency seek? ___Part-time ___Full-time ___Both
12. What semesters is your agency available to accept intern placements?
___Fall (August to December) ___Spring (January to April) ___Summer (May to August)
13. Please indicate the last semester in which a UWF Health Education intern was placed with your
organization (if applies):_____________________________
14. Office space available to intern? ___Yes ___No
15. Computer available to intern? ___Yes ___No
16. Normal working hours (please indicate any evening or weekend time commitments): ____________
____________________________________________________________________________________
____________________________________________________________________________________
___Very Flexible ___Somewhat Flexible ___Non-Flexible
Gulf Breeze Florida
11-06-06
The Executive Physical Program at the Andrews Institute
Our mission is to provide the best medical care for the musculoskeletal
system through orthopaedics and sports medicine, utilizing innovative clinical and surgical
www.theandrewsinstitute.com
Mandy Bequette
P.O. Box 1617
850
437
8611
mandy.bequette@bhapns.org
✔
N/A
✔
✔
✔
✔
Spring 2006
✔
✔
✔
8-5, M-F
technologies, & to improve patient care through research & education, emphasizing prevention.
17. Required purchases (i.e. parking passes, uniform, etc.): ___________________________________
____________________________________________________________________________________
____________________________________________________________________________________
18. Required skills or previous experience needed: ___________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
19. Description of intern duties (please include additional literature if desired): ____________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
20. Other important information about internship: __________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please return to:
Melissa M. Howard, MPH, CHES
Assistant Professor, Health Education
Department of Health, Leisure and Exercise Science
11000 University Parkway
Pensacola, FL 32514
Phone: (850) 473-7110 Fax: (850) 474-2106
Department Comments
To be completed by Health Education Internship Coordinator
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
N/A
Excellent oral & written communication skills,
well-organized, attention to detail, computer literate (MS Word, excel, etc.), must work well
with others.
Interns will assist
in the daily operations and functions of program to include development and maintenance of
forms, checklists, spreadsheets and databases. Assist in accurate scheduling program
calendars for client and contract services. Maintain a courteous and cooperative attitute when
working/dealing with other department and office staff.
Interns will have the opportunity to work in a
world class executive physical program of which offers an innovative approach to managed
care through the various medical procedures and services offered to its client base.
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Andrews Institutue-Executive Physical Program - Internship Profile UWF revised2

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Completed 18 November 2019

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