LNA Summer Internship Application

Name

First

Middle Initial

Last

Email *

Phone *

Address *

Address Line 2

City *

State *

Zip *

College

College Program

Graduating Class Year

Do you already have your NH Nursing Assistant License? Please note that you will need to be licensed by May 9 or May 23 depending on your cohort. *

Yes

No

What is your license number? *

When will you be eligible?

If you are planning on relocating for the summer internship program, are you interested in receiving resources on finding housing in the area? Please note, D-H is not able to provide housing for interns. *

Yes

No

What areas of nursing are you most interested in? *

Medical/Surgical

Critical Care

Birthing Pavilion

Women’s & Children

Hematology/Oncology

Ambulatory

Neurosciences and Ear, Nose and Throat

Short Stay and Same Day Program

The Internship Program begins on May 16 or 31, 2022. Are you interested in beginning work as an LNA or in a different position (both remotely or onsite) before this time? If so, we will connect you with a recruiter to discuss work opportunities. This would be an independent process to your internship application. Please select all that apply.

No thank you, I am only available for the internship period

Yes, I would like to discuss job opportunities to start working this winter/spring

Yes, I would like to discuss job opportunities to start working the spring or summer before the internship program starts

Questionnaire:

To help us better know you and further assess your qualifications for this position, please answer the following questions as accurately as possible.

Have you previously been employed by Dartmouth-Hitchcock at any of its locations? If yes, please indicate location and department. *

Yes

No

Location and Department *

Are you a current employee of Dartmouth-Hitchcock? If yes, please indicate location, department and date of hire. *

Yes

No

Location and Department *

Have you applied for a Workforce Readiness Institute Program before? *

Yes

No

Which program have you applied for/participated in? *

Are you legally eligible for employment in the United States? *

Yes

No

Will you now or in the future require sponsorship for employment visa status (e.g. H-1B visa status)? *

Yes

No

Are you under 18 years of age? *

Yes

No

I understand that if I have ever been convicted of any felony in any state (regardless of type of offense;) or any misdemeanor offense of sexual assault, other violent crime, assault, fraud, theft, abuse, neglect or exploitation of any person (together, "disqualifying convictions), that has not been annulled by a court, D-H will be required to obtain a waiver from the New Hampshire Department of Health and Human Services prior to extending a final offer of employment. Any disqualifying convictions should be discussed with Workforce Development at time of offer. *

Yes

No

How did you hear about the program ? How did you hear about the program ?

Please upload the following documents:

Current resume
Letter of interest describing your motivation for applying, desired outcomes and ideal unit placement
Professional letter of recommendation

Resume and Statement of Interest are required upon submission. If you do not have your reference at this time, you can submit it via email to wri@hitchcock.org prior to the application deadline. Your reference may also submit their letters directly to that email address if preferred. Your application is not considered complete and will not be reviewed until all application materials are received. Please check your confirmation email that your application materials were successfully uploaded. All uploaded documents will be listed by name. If they were not listed, they have not been received.

Upload your files here. Multiple files accepted. Please only upload the following file types: .doc .docx .pdf

Maximum file size: 52.43MB

We are excited for your application to the LNA Summer Internship Program. Please be sure you complete this form in its entirety. Complete applications include a copy of your resume, statement of interest, and one professional reference. Only complete applications will be considered.

Questionnaire:

Please upload the following documents:

Contact Information

Questions or concerns?

Please contact the internship program team via email at WRI@hitchcock.org.