Before submitting your application, please verify with your internship/practicum supervisor that the internship(s) you are applying for meet the requirements of your educational institution.
We suggest viewing the internships available online with your advisor (or print out the information) to verify:
- the population served meets clinical expectations
- the supervision provided is adequate
- the responsibilities of the internship will help develop your skills
- times and location for the internship fit your schedule
Only after you have verified those issues should you apply for an internship.
Ensure Successful Submission
To make certain that your application is submitted successfully:
- Submit information in one session within in a two-hour time frame
- Provide information for all spaces marked with an asterish (*)
- After clicking the Submit button, wait for a confirmation statement before closing your browser
If you are not successful in submitting your application, please check these factors and also verify that your Internet connection did not drop during your session.
Interviews for internship placements will be scheduled two to three months before each semester. If your school requires an earlier verification of an internship placement, please contact Daryl Groff, Internship Coordinator, at 717-270-2484.
Bachelor's Degree Internship Application
Authorization for Release of Information
I hereby authorize the release to WELLSPAN PHILHAVEN of any and all information relative to my internship, including but not limited to dates of employment, attendance records, performance ratings, rates of pay and eligibility for reemployment. I authorize its release without penalty or liability. A printed copy of this authorization shall be considered as valid as the original.
No relatives or previous supervisors
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for internship as may be necessary in arriving at an internship decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any internship relationship with this organization is of an "at will" nature, which means that the intern may resign at any time and the organization may end the internship at any time with or without cause. It is further understood that this "at will" internship relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the organization. In the event of internship, I understand that false or misleading information given in my application or interview(s) may result in ending the internship. I understand, also, that I am required to abide by all rules and regulations of the organization.
WellSpan Philhaven Application Supplement
Upload a copy of your resume below. You may also email your resume to Daryl Groff.