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ADEAGoDentalInternshipApplication

PleasecompleteandemailtoRhinebergerE@adea.orgbyFebruary24th,2012

Name: Address: TelephoneNumber: Emailaddress: College/University: YearinSchool: Major: Minor: AvailabilityfortheADEAAnnualSessionandExhibition: Pleaseprovidethename/emailaddressoftheprehealthadvisor/facultymemberatyour schoolthatservesasyourmentor.Thisindividualwillbecontactedtoattesttoyoucredibility andcharacter: Name:_________________________Email:______________________________

1. Wedliketoknowabitaboutyou.Pleasewriteafewsentences,likeapersonal statement,aboutwhoyouare,whereyouvecomefrom,andsomeofyourcareergoals. 2. 3. Whatareyourinterests? HigherEducation Websitedevelopment Writing HealthCareer 4. Whatspecificexperiencewouldyouliketogainthroughthisinternship? DentalSchool Marketing Other WhyareyouinterestedintheADEAGoDentalinternship?

5. 6. 7.

Whatisyourtimemanagementstyle?

Discussyourlongtermcareergoals.

Whatisyourexperiencewithonlinemanagement/blogging/socialnetworking?

Signature:________________________________________Date:_____________________
Tocompleteyourapplication,pleasesubmitascannedcopyofthisformandaresume(nolongerthan twopages)toEmilyRhineberger,SeniorDirectorofApplicationServicesatRhinebergerE@adea.orgby Friday,February24th,at5pmEST.

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