Sodexo · Sodexo Dietetic Internships 115 Pheasant Run, Suite 106 Newtown, PA 18940 Application fee...
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Application Cover Sheet Name: Mailing Address (incl. Street, City, State, Zip): Phone: Email Address: ___________________________________________________________________________________________________________ Complete this form, upload it to the supplemental materials section of DICAS and mail it with your application fee to: Nicole Fenn Sodexo Dietetic Internships 115 Pheasant Run, Suite 106 Newtown, PA 18940 Application fee is $50 if applying to one region; $75 if applying to more than one region. In the column to the right next to the Region(s) rank those regions where you are applying. Do not rank a region where you don’t want to be placed. Ranking more regions will NOT increase your chances of being matched. Using the textbox to the right of the table, list the major cities and states, within the region, where you prefer to complete the internship. Regions In order of your preference, rank (1, 2, 3 etc.) only the regions to which you are applying and willing to be placed. D & D Code Spring match D & D Code Fall Match Region 1 Connecticut, Massachusetts (excluding Fall River & New Bedford, MA), New Hampshire, upstate New York, Maine 829 Region 2 Southeastern Massachusetts (includes Fall River & New Bedford, MA), Rhode Island 830 Region 3 NYC, Long Island, Westchester County, Northern NJ 831 Region 4 Pennsylvania, Southern NJ 832 Region 5 Maryland, Washington DC, Virginia, West Virginia 833 Region 6 North and South Carolina, Georgia, Tennessee, Kentucky 834 Region 7 Florida 835 Region 8 Michigan, Ohio, Indiana 836 Region 9 Illinois, Missouri, Minnesota 837 Region 10 Texas, Arkansas, Oklahoma 838 Region 11 Colorado, Wyoming, Washington, Montana 839 Region 12 California, Hawaii, Nevada, Arizona 840 Place an “x” in the appropriate column Yes No Maybe Do you plan to apply to the combined URI MS/internship? The Sodexo Dietetic Internship offers 8 different concentrations. Please list your top 3 choices in order of preference. MNT, Culinary, Diabetes, Leadership, Pediatrics, Senior Living, Weight Management, Wellness 1. 2. 3. Online Portfolio Address (and Password if your site requires it) Geographic Preferences: List the major cities and states, within the region, where you prefer to complete the internship. Submit payment with a check or money order and make payable to Sodexo. Do not send cash. Be sure to include your name in the memo line on the check. We do not accept credit cards or PayPal. Failure to submit payment will result in an
Transcript of Sodexo · Sodexo Dietetic Internships 115 Pheasant Run, Suite 106 Newtown, PA 18940 Application fee...
Application Cover Sheet
Name:
Mailing Address (incl. Street, City, State, Zip):
Phone: Email Address:
___________________________________________________________________________________________________________
Complete this form, upload it to the supplemental materials section of DICAS and mail it with your application fee to:
Nicole Fenn Sodexo Dietetic Internships 115 Pheasant Run, Suite 106 Newtown, PA 18940
Application fee is $50 if applying to one region; $75 if applying to more than one region.
In the column to the right next to the Region(s) rank those regions where you are applying. Do not rank a region where you don’t want to be placed. Ranking more regions will NOT increase your chances of being matched. Using the textbox to the right of the table, list the major cities and states, within the region, where you prefer to complete the internship.
Regions
In order of your preference, rank (1, 2, 3 etc.) only the regions to which you are applying and willing to be placed.
D & D Code Spring match
D & D Code Fall
Match
Region 1 Connecticut, Massachusetts (excluding Fall River & New Bedford, MA), New Hampshire, upstate New York, Maine
829
Region 2 Southeastern Massachusetts (includes Fall River & New Bedford, MA), Rhode Island
830
Region 3 NYC, Long Island, Westchester County, Northern NJ
831
Region 4 Pennsylvania, Southern NJ
832
Region 5 Maryland, Washington DC, Virginia, West Virginia
833
Region 6 North and South Carolina, Georgia, Tennessee, Kentucky
834
Region 7 Florida
835
Region 8 Michigan, Ohio, Indiana
836
Region 9 Illinois, Missouri, Minnesota
837
Region 10 Texas, Arkansas, Oklahoma
838
Region 11 Colorado, Wyoming, Washington, Montana
839
Region 12 California, Hawaii, Nevada, Arizona
840
Place an “x” in the appropriate column Yes No Maybe
Do you plan to apply to the combined URI MS/internship?
The Sodexo Dietetic Internship offers 8 different concentrations. Please list your top 3 choices in order of preference. MNT, Culinary, Diabetes, Leadership, Pediatrics, Senior Living, Weight Management, Wellness
1. 2. 3.
Online Portfolio Address (and Password if your site requires it)
Geographic Preferences: List the major cities and states, within the region, where you prefer to complete the internship.
Submit payment with a check or money order and
make payable to Sodexo. Do not send cash. Be
sure to include your name in the memo line on the check. We do not accept credit cards or PayPal. Failure to submit payment will result in an incomplete application.
