Practicum Opportunity Submission Form

The Practicum Opportunity Submission Form should only be completed by representatives from a North Carolina local health department or the North Carolina Division of Public Health.

Please read the following before completing:

  1. The purpose of this form is to gather important details about open governmental public health practicum opportunities as part of the North Carolina Pathways Program.

  2. Please review the entire form before beginning to ensure all required information is ready. Once submitted, the Pathways Program Team will contact the submitter or primary contact if any edits or additional information is needed.

  3. Upon request, the Pathways Program Team can provide a list of qualified applicants for the posting who meet the minimum required criteria specified in the Opportunity Submission Form. Alternatively, or in addition, an unscreened list of all applicants is also available.

  4. The organization is responsible for selecting a candidate in their preferred manner; while interviews are recommended, they are not required. Once a candidate is selected, the organization's primary contact (as listed in this form) must notify the Pathways Program Team to ensure the candidate is properly enrolled in the appropriate Pathways Program.