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COVID-19 Info
History
Leadership
Providers
Hours & Locations
>
Over-the-Rhine
Rothenberg
Taft
Western Hills
Harrison
Financial Information
Privacy Policy
Contact Us
Patients
New Patients
Current Patients
Support Groups
Paperwork
Resources
Feedback
Get Involved
Learn
>
Care Coordination Team
Volunteer Internship Program
Community Health Education Program
>
Community Health Education Program Application
For Current Students
Donate
Careers
Application
Crossroad Volunteer Internship Program Online Application
Applicant Information
*
Indicates required field
Name
*
First
Last
Pronouns
*
such as: she/her, he/him, they/them, etc.
Email
*
Phone Number
*
Undergraduate School of Attendance
*
Undergraduate Major
*
Undergraduate Graduation Year
*
Graduate School of Attendance
*
N/A if not applicable
Are you pursuing any of the following pre-professional programs?
*
Pre-Medicine
Pre-Dental
Pre- Physician Assistant
Pre- Optometry
Pre- Pharmacy
Pre-Physical Therapy
Pre-Occupational Therapy
Pre-Law
Pre-Nursing
Social Work
Public Health
Other Professional Program
Healthcare Administration
I am not enrolled in any of the above pre-professional programs.
Briefly describe other activities you are involved in.
*
I understand this is an unpaid position.
*
Yes
No
This is an unpaid position, but a wonderful opportunity to see faith and medicine at work in an underserved community. You may be able to receive grant funding or class credit through your university.
I understand that this experience will be on-site and in-person at one of the Crossroad clinics.
*
Yes
No
I understand that this program requires a minimum commitment of one 4 hour shift per week for one year (3 semesters), and that this position entails calling patients and provider offices to help patients schedule referrals.
*
Yes
No
Please check which location(s) you would be able to travel to for your weekly shift.
*
OTR (5 E. Liberty St, 45202)
West (2170 Anderson Ferry Rd, 45238)
Harrison (10450 New Haven Rd, 45030)
Check all that apply. We appreciate flexibility, as we have a limited number of interns we can accept at our OTR location.
How do you plan to commute to Crossroad Health Center?
*
I am getting to Crossroad by my own form of transportation and am willing to provide a ride to others in my shift.
I am getting to Crossroad by my own form of transportation and will not be able to provide rides.
I will be using public transportation to get to Crossroad.
I am within walking distance of Crossroad.
I do not have a form of transportation and would like to get a ride from an intern to Crossroad.
Unsure.
Do you speak another language fluently?
*
Yes
No
If yes, what language(s)?
*
Have you applied to Crossroad's Volunteer Internship Program in the past?
*
Yes
No
Please indicate which timeslot you are available if you are selected for an interview. The interview will be held in person on April 16.
*
12:00pm - 12:30pm
12:45pm - 1:15pm
1:30pm - 2:00pm
2:15pm - 2:45pm
3:00pm - 3:30pm
How did you hear about the Crossroad Volunteer Internship Program
*
Presentation or Email to Academic Class
Presentation or Email to Student Organization
Event (Health Fair, Conference, Seminar, etc)
Current Intern or Employee
Internet Search
Other website
Social Media
Other
Please provide one professional reference.
This is an individual who has overseen you in a professional setting, such as an advisor, supervisor, professor, or employer. Do not include a relative or friend. We may reach out to your reference if we have any questions while reviewing your application.
Reference Name
*
Reference Email Address
*
Relationship to Reference
*
Please provide one peer reference.
This should be a peer who you have worked with or under in a professional or extracurricular or academic setting. Examples include a leader of a student organization, partner in a group project, or fellow student in a research lab. Do not include a relative. We may reach out to your reference if we have any questions while reviewing your application.
Reference Name
*
Reference Email Address
*
Relationship to Reference
*
Supplemental Materials
The supplemental materials include three components:
Essay #1:
What are you hoping to learn from the CVIP program, and how will you apply what you learn?
250 words maximum, single-spaced.
Essay #2:
Think of a time where you were part of a community. How did you contribute? How did it change/affect you?
250 word maximum, single-spaced.
Professional Resume:
2 page maximum.
The application will close on
March 26, 2023 at 11:59 PM.
Instructions:
Please
do not include your name
within your essay documents.
Please
remove all personal information
such as your name, phone number, or address from your resume documents as well.
Submit the supplemental materials as
one PDF
with the title in the format of
Lastname_Firstname_SP22.pdf
Submission
*
Max file size: 20MB
Please submit your resume and personal statement as one PDF with the title in the format of Lastname_Firstname.pdf.
It is the policy of Christian Community Health Services to ensure equal employment opportunity in accordance with the Ohio Revised Code 125.111 and all applicable federal regulations and guidelines. Employment discrimination against employees and applicants due to race, color, religion, sex, national origin, disability, age, military status, or veteran status is illegal.
Crossroad's Volunteer Internship Program welcomes individuals from all backgrounds and identities, including sexuality and gender identity.
Submit
