University of West Florida
Health Education Program
Prospective Internship Site Profile
1. Location: _______________________________ Date Completed: _____________________
City State
2. Agency: __________________________________________________________________________
3. Agency mission/purpose: ____________________________________________________________
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4. Agency website (if applies): __________________________________________________________
5. Contact: __________________________________________________________________________
6. Address: _______________________________________________________
Street/P.O. Box Suite#
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City State Zip
7. Phone: (______) _______-_____________ 8. Email Address: ___________________________
9. ___Non-Paid ___Paid (amount) $_______________
10. Other benefits (i.e. housing, health insurance, travel reimbursement, etc.):______________________
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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): ____________
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___Very Flexible ___Somewhat Flexible ___Non-Flexible
Milton FL
10/03/2006
Santa Rosa County Health Department
To fulfill the 10 essential public health services includeing
informing, educating and empowering the public regarding health issues.
doh.state.fl.us/chdsantarosa
Ginny Hinton
5527 Stewart Street
850
983
5200
ginny_hinton@doh.state.fl.us
Use of fleet vehicle
after training/clearance.
Summer 2006
8-5 M-F with
occasional weekend or evening commitments available but not mandatory
17. Required purchases (i.e. parking passes, uniform, etc.): ___________________________________
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18. Required skills or previous experience needed: ___________________________________________
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19. Description of intern duties (please include additional literature if desired): ____________________
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20. Other important information about internship: __________________________________________
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Please return to:
Melissa M. Howard, PhD, 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
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NA
Organizational and public speaking skills a plus.
Prepare for and
attend local health fairs, attend community meetings related to health education, assist health
education staff with chronic disease prevention or injury prevention projects, participate in
training opportunities of interst to intern. Intern is also expected to do minimal filing and
organizational tasks related to health education functions.
Internship offers a variety of training and
participatory activities. Background screening required prior to beginning internship duties.