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Lake Cumberland District Health Department

A healthy today for a brighter tomorrow.

The Lake Cumberland District Health Department welcomes students and professionals seeking internship, practicum, clinical rotation, observation, or preceptorship opportunities. Complete the form below to apply and gain hands-on experience while making a meaningful impact in the communities we serve.

Student Opportunity Request Form

Lake Cumberland District Health Department Student Opportunity Request Form

Please provide all the information below.

Section 1 - Student Information

Your Name(Required)
Your Email Address(Required)
Mailing Address(Required)
Are you currently an employee of LCDHD?(Required)

Section 2 - School & Program Information

Required by School (select all that apply)(Required)

Section 3 - Student Qualifications & Interests

Section 4 - Required Documentation

Students must provide a letter written on school letterhead from a faculty member verifying the student is in good standing. The letter must include: program of study, required hours and timeframe, and any documentation requirements for both the school and LCDHD. When submitting electronically, attach this letter together with this form.
Max. file size: 200 MB.

Section 5 - Student Acknowledgements

Please check each statement if you agree.(Required)
Enter your full name.
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