Lefteroff Internship Application for Students

General Information
Please complete this application form, and attach your resume and two letters of recommendation at the end.
Name*
First Last
Phone*
Personal Email Address*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

College
College(s)*
College Location Dates GPA

List most recent colleges / graduate schools first and add if necessary then "+" add more lines
Current year in school*
Major*

Application
How did you hear about us?*
Please provide a personal statement that describes your interests, career goals and reasons for applying for an internship at Fogarty Innovation.*
The late Tracy Lefteroff was a strong believer in the power of mentoring and collaboration. Share one or more examples of projects where you have collaborated with others and/or how mentoring has helped you during past experiences.*
Please describe your skill sets and how you might apply them to contribute to your internship. Examples may include Engineering skills: e.g, ability to code in certain languages, use certain CAD software, experience with 3D printing, laboratory skills, other hands-on skills, artificial intelligence/machine learning, etc. or Other relevant skills: e.g., market research, business, economics, healthcare policy, etc.*
I understand that my application, resume and two letters of recommendations are due by the application deadline stated on the website.*
- Yes, I understand
You may also submit your resume and letters of recommendation to lefteroff@fogartyinnovation.org
Resume and 2 letters of recommendation
Drop files here or

College	Location	Dates	GPA

General Information