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YRG CARE Intern
Application Form
 
 
Please fill in the following details ( All fields are mandatory )
 
1. General Information
  Name:
  Address:
  Phone:
  Email:
  Languages Known:
  Type of Visa:
 
2. Internship Interests
    (Please list the areas that you would be interested in working)
 
 
3. Biographical Information
  University/College:
  Address of Univ./College:
  Primary area of Study:
  Relevant Work Experience:
  Relevant Extracurricular Experience:
  Relevant Travel:
  Skills/ Specialization:
  Hobbies and Interests:
 
4. Scheduling Information
  Time/Hours Available:
  Days of the week:
  Duration (months) Available:
 
5. Are you interested in conducting research?
    Yes   No
(If yes, send us your research proposals/papers as soon as possible as we would require at least two months to process proposals with the ethical committee (IRB)
 
 
 
Kindly do note:
An intern at our center is not eligible for any support from the organisation in terms of accommodation, living expenses, travel etc. If required, we offer our assistance to make such arrangements for you.

If you are not part of an existing collaborative program with our organization, you will be required to pay an institutional fee of Rs. 10,000 or its equivalent for your elective with us.

An intern accepted by our organisation has to complete the online ethics module (
www.jhsph.edu/CHR) and submit the certificate upon joining the program. Though not required, it would be beneficial to bring a laptop for your own convenience.

Thank you for your interest with YRG CARE!
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YR Gaitonde Centre for AIDS Research and Education, VHS Campus, Rajiv Gandhi Road, Taramani, Chennai 600113 India. T:+91 44 22542929 F:+91 22542939 E:info@yrgcare.org
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