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
Pensacola, FL
11/03/06
Baptist Occupational Health
To provide superior service based on christian values to improve
the quality of life for people and communities served.
www.ebaptisthealthcare.org
Debbie Dicken/ Briana Sartain
9400 Univeristy Parkway
850
208
6400
ddickens@bhcpns.org
Fall 2006
Monday 8am-12, Tuesday, Wednesday, and Thursday 6:30am - 2:30pm
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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Slacks-khaki,blk, brown. Closed toe
shoes (tennis shoes/dress shoes-will be standing for a long time). No low cut shirts or shirts
that show mid-drift, ID badge for Escambia county school district.
Prefer student to be within two semesters from
graduation
See attached: Health
fairs, speaking programs, blood draws, clerical, research. Oreintation, training, and skin/drug
tests required before you can attend health fairs.
This internship provides the student with hands-
on opportunity. We counsel clients on nutrition, blood pressure management, physical activity
and lifestyle.