CareGuard Institute Internship Application Please answer the following questions Question Title * Please provide your contact information: Name Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * Why do you want to be involved in the CareGuard Movement? Please be specific. Limit your response to 1000 characters. Question Title * What previous healthcare experiences changed your understanding of patient safety? Limit your response to 1000 characters Question Title * Are you interested in participating in a CareGuard leadership position? Not interested Interested Clear i We adjusted the number you entered based on the slider’s scale. Question Title * How will you effectively manage your new membership position with your school course load and other activities your may be involved in? Question Title * How many hours are you willing to commit to your new position per week? 1 hour 2 hours more than 2 hours Question Title * Why are you interested in participating in an internship program with CareGuard? Question Title * Please let us know which internship opportunity fits your schedule. Summer Winter break Spring break Other (please specify) Question Title * Is there anything else you would like to tell us that makes you a great addition to our internship program? Question Title * Please upload your resume or CV PDF, DOCX, DOC file types only. Choose File Choose File No file chosen Remove File Please upload your resume or CV Done