Workforce Development Student Assistance Request – Institute for Public Health Practice, Research and Policy

First Name

Last Name

Job Title

Name of Organization

Street Address

City

ZIP code

Email

Phone

Do you have a project coordinator other than yourself?

Additional coordinator first name

Additional coordinator last name

Additional coordinator title

Additional coordinator organization

Additional coordinator email

Additional coordinator phone number

Additional coordinator street address

Additional coordinator city

Additional coordinator state

Additional coordinator ZIP code

Do you have a project or initiative in mind?

Project/Support Description

Expected Project Start Date

Expected Project Completion Date

Expected Number of hours for Project Completion

Anticipated Number of Students Needed or Student Positions Available

Level of Student Expertise Expected

Undergraduate

Master’s

Doctorate

Not sure

What, if any, pre-certifications or pre-trainings may be required?

What type of need for student assistance do you require?

Strike Force

Internship

Practicum

Not sure

What type of workplace environment do you require?

On-site

Remote

Hybrid

Not sure

Is this position paid or unpaid?

Unpaid

Paid

NOTE: Projects are not required to include compensation. Student accepting unpaid roles might be eligible for support through University of Iowa resources.

Pay rate or range

Provide address of this activity, if different from organization address

Email address of the person to whom students should submit their resume and cover letter