CHI Student Consultant Project Application

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Community Health Initiative (CHI)
Student Consultant Project Application

PLEASE COMPLETE ALL INFORMATION

Contact Information
Name   
Address   
City   
State

  

ZIP Code   
Home Phone   
Cell Phone   
E-mail Address
Student ID Number   
Anticipated Graduation Date   
Degree   
Major area(s) of study   
Cumulative GPA   

Which U of MN School are you enrolled?

Please note that only students at the University of Minnesota - Twin Cities campus are eligible to apply.

Public Health
Social Work
Medicine
Carlson School of Management
Humphrey School of Public Affairs
Nursing
Other:
What is your student status? Full Time Part Time
Are you employed by the University of Minnesota? Yes No
If so, how many hours a week do you work?
Are you an international student? Yes No
If so, are you allowed to work on campus? Yes No
What type of Visa do you have and when does it expire?

Type:

Expiration Date:

Do you have a car? Yes No
If you are interested in working with a particular colleague, please provide their name and e-mail address.

Name:

E-mail Address:

Are you interested in doing a consulting project for a... Nonprofit
Small Business
Either Nonprofit or Business

Are you interested in doing MTAP for Nonprofits Student Consulting Project?

Management and Technical Assistance Program (MTAP) offers 3-4 month student consulting projects (with stipend) with community-based nonprofit organizations.
 

Yes No
Please complete information below.
Please check the types of projects in which you have EXPERTISE and SKILLS in:
Market Research and Analysis
Communications
Management Info Systems
Finance and Accounting
Human Resource Management
Strategic Planning
Feasibility Study
Demography Studies
Fund Development
Community Health Education
Social Work
Population Health Coordination

Marketing Plan Development
Program Development
Business Plan Development
Operations Management
Nonprofit Management
IT/Technology Development
Internet/Web Design
Supply Chain Management
Program Evaluation/Measurement
Nursing Care/Management
Health/Medical Research
Grant Writing

Please share any other information about yourself, your experiences or your studies that would be useful in considering your application.

It is expected that students will spend approximately 50-60 hours on the project throughout the school semester and will have some flexibility in their schedule to accommodate meetings with the nonprofit representative.

Please list any scheduled events that may affect your participation (for example, if you are unable to work on a project before or after a certain date, or if you will be taking an extended trip).

To aid in scheduling meetings and matching students with clients, we ask that you provide information about your typical weekly schedule.

Please write down the times WHEN YOU ARE AVAILABLE for project work or meetings.

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

Please PRINT a copy for your records before clicking the Submit button.