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Student Informational Interview Application

Students may request informational interviews (typically by phone) with a public health professional to gain enhanced understanding of public health programs and policies to supplement a school assignment.

Please complete the below application to apply for an informational interview opportunity at the Macomb County Health Department.

1. Contact Information *This question is required.

Student Name
University Name
Student Address
City
State
Zip
Email Address
Phone Number

2. What is your educational status? *This question is required.

Space Cell	Undergraduate	Graduate
Public Health	Public Health: Undergraduate	Public Health: Graduate
Nursing	Nursing: Undergraduate	Nursing: Graduate
Informatics	Informatics: Undergraduate	Informatics: Graduate
Health Administration/Policy	Health Administration/Policy: Undergraduate	Health Administration/Policy: Graduate
Environmental Health	Environmental Health: Undergraduate	Environmental Health: Graduate
Epidemiology/Biostatistics	Epidemiology/Biostatistics: Undergraduate	Epidemiology/Biostatistics: Graduate
Social Work	Social Work: Undergraduate	Social Work: Graduate
Nutrition	Nutrition: Undergraduate	Nutrition: Graduate
Community Health	Community Health: Undergraduate	Community Health: Graduate
Enter another option	Other: Undergraduate	Other: Graduate

3. Requested Interview Date/Time *This question is required.

Space Cell	Date	Time
First Preference	First Preference: Date	First Preference: Time
Second Preference	Second Preference: Date	Second Preference: Time
Third Preference	Third Preference: Date	Third Preference: Time
Fourth Preference	Fourth Preference: Date	Fourth Preference: Time

5. Please explain the objectives of the interview, including the specific subject matter and any questions that will be administered in the interview, in order to establish how the MCHD can accommodate this request: *This question is required.