Apply!

Personal Information

First Name*:

Last Name*:

Date of Birth*:

Student type*:

Undergraduate Student
Medical Student

Year in school*:

If graduate student, which program?:

Address*:

Email*:

Cell phone*:

What site(s) are you interested in?

Sites*:

Fond du Lac
Little Earth of United Tribes
White Earth Community

What dates work best for you to participate*:

Please answer the following questions

Please describe your leadership or community service experiences and what you learned from them*:

What have been your experiences with diverse cultures and languages*:

How can you contribute to the sites you are interested in working at this summer*:

Are you a certified Dartmouth College driver*:

Yes
No

Please attach a current resume*:

(.doc, .docx, .pdf)

If you have any questions please contact Shawn O'Leary.