Application Form | Cuyahoga County Board of Developmental Disabilities

Name *

Phone Number *

Email *

College/University Name *

Academic Department *

Degree Sought *

Academic department contact name and phone number

Approximate start and end dates of internship/field placement:

(if applicable)

Required professional credential of the field supervisor:

(if any)

Please provide a brief overview of your interests and any relevant experience that you may have as it relates to this field placement: *

Which type of internship are you interested in? (Select the one that best fits your interests and learning goals.)

By submitting a form you are indicating you read and understand all requirements and deadlines. All requests will be routed to the Human Resources Department and forwarded the appropriate department head for consideration. If your submission is accepted, you will be contacted directly regarding next steps. This process may take 2-3 weeks, so please be patient.

Questions? E-mail hr@cuyahogabdd.org.

Student Internship Application Form