UT Southwestern Medical Center Graduate …...To apply for the UT Southwestern Graduate...

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UT Southwestern Medical Center Graduate Administrative Internship Program Application To apply for the UT Southwestern Graduate Administrative Internship Program, please fill out the following information to include in a consolidated PDF file. In that file, you must also include your resume, unofficial graduate school transcript, official undergraduate transcript and cover letter. All applicants must be in a current MBA, MHA, MPH or an equivalent degree from an accredited United States program. Please submit completed application packets to [email protected]. Applications must be submitted via email by 5:00pm CST on Friday, February 7 th , 2020. PERSONAL INFORMATION: Last Name: ____________________________ First Name: _____________________________ Address: ______________________________________________________________________ City: __________________________________ State: __________ Zip Code: ______________ Primary Phone: ________________________ Secondary Phone: ________________________ Email: ________________________________________________________________________ EDUCATION INFORMATION: Graduate Program Information: School: ______________________________________________ Graduation Date: _________ City: __________________________________ State: ___________ GPA: ________________ Degree: ________________________________ Major: ________________________________ Undergraduate Program Information: School: ______________________________________________ Graduation Date: _________ City: __________________________________ State: ___________ GPA: ________________ Degree: ________________________________ Major: ________________________________

Transcript of UT Southwestern Medical Center Graduate …...To apply for the UT Southwestern Graduate...

Page 1: UT Southwestern Medical Center Graduate …...To apply for the UT Southwestern Graduate Administrative Internship Program, please fill out the following information to include in a

UT Southwestern Medical Center Graduate Administrative Internship Program Application

To apply for the UT Southwestern Graduate Administrative Internship Program, please fill out the following information to include in a consolidated PDF file. In that file, you must also include your resume, unofficial graduate school transcript, official undergraduate transcript and cover letter. All applicants must be in a current MBA, MHA, MPH or an equivalent degree from an accredited United States program. Please submit completed application packets to [email protected]. Applications must be submitted via email by 5:00pm CST on Friday, February 7th, 2020.

PERSONAL INFORMATION: Last Name: ____________________________ First Name: _____________________________ Address: ______________________________________________________________________ City: __________________________________ State: __________ Zip Code: ______________ Primary Phone: ________________________ Secondary Phone: ________________________ Email: ________________________________________________________________________

EDUCATION INFORMATION: Graduate Program Information: School: ______________________________________________ Graduation Date: _________ City: __________________________________ State: ___________ GPA: ________________ Degree: ________________________________ Major: ________________________________ Undergraduate Program Information: School: ______________________________________________ Graduation Date: _________ City: __________________________________ State: ___________ GPA: ________________ Degree: ________________________________ Major: ________________________________

Page 2: UT Southwestern Medical Center Graduate …...To apply for the UT Southwestern Graduate Administrative Internship Program, please fill out the following information to include in a

OPTIONAL INFORMATION: *Please check boxes that apply

Race: Ethnicity: American Indian Hispanic or Latino

Asian Not Hispanic or Latino

African American

Native Hawaiian or other Pacific Islander

White

Other: ________________________

Veteran: Sex: Disabled Veteran Female

Vietnam Veteran Male

Not Applicable

Disabled: No

Yes

UT Southwestern is an Equal Opportunity / Affirmative Action Employer

Page 3: UT Southwestern Medical Center Graduate …...To apply for the UT Southwestern Graduate Administrative Internship Program, please fill out the following information to include in a

HOW DID YOU HEAR ABOUT THE UT SOUTHWESTERN GRADUATE ADMINISTRATIVE INTERNSHIP PROGRAM? *Please check all that apply

ACHE HFMA MGMA

NASHE Website Graduate

Program Office Faculty Friend Other

If other, please specify: ___________________________________________________________

Page 4: UT Southwestern Medical Center Graduate …...To apply for the UT Southwestern Graduate Administrative Internship Program, please fill out the following information to include in a

APPLICATION PACKET CHECKLIST Please send all application materials in a consolidated PDF file to [email protected]

Application Resume Unofficial Graduate School Transcript Official Undergraduate Transcript Cover Letter (one page maximum)

o Relevant experience o Interest in UT Southwestern Medical Center