APPLICANT'S PREFERENCE OF INTERNSHIP ENTRANCE DATES
If you apply for a Dietetic Internship at NewYork-Presbyterian Hospital, you must complete and submit this form with your application.
IMPORTANT: When you are completing your mark sense card for the D&D Digital Computer Match Process, please be advised that there are two code numbers for the NewYork-Presbyterian Hospital Dietetic Internship Program. Code number 360 corresponds to the August, 2009 entrance date; code number 413 corresponds to the January, 2010 entrance date. You can apply to one or both sections of the class depending upon your preference or availability to start the Dietetic Internship Program.
I would be able to enter a Dietetic Internship at NewYork-Presbyterian Hospital in:
_____
August, 2009 (code number 360)
_____
January, 2010 (code number 413)
_____
Either August or January,
but
I would prefer: ____________(month)
Signature
of Applicant:________________________