ACDS Dave Severson CAMP Internship Application

Thank you for your interest in applying for the ACDS Dave Severson CAMP Internship. Please complete the below information and submit by April 15, 2026, to be considered for this opportunity. Please contact info@contactderm.org or call (414) 918-9805 with any questions you might have.

* = required field

Applicant's Information

First Name*:

Last Name*:

Street Address*:

City*:

State*:

Phone* (include extension):

Email*:

Medical School*:

Graduation Date*:

Residency Program*:

Graduation Date*:

Additional Information

The work load involved is estimated to take approximately 20 hours per week for 12 weeks. Please list any challenges or obstacles that you may face in completing this expectation. Please also detail the times and dates of any overlapping commitments you have June-August 2026.

Please describe your interest or background in contact dermatitis, and why you are interested in the Dave Severson CAMP internship.*

What is your favorite allergen? Why?*

Upload a copy of your CV*:

Upload a writing sample pertaining to contact dermatitis*:

Reference

Provide the name and contact information of at least one reference. (Must be an ACDS fellow member in good standing)*

For more information, please contact us at info@contactderm.org

ACDS Dave Severson CAMP Internship Application

Applicant's Information

Additional Information

Reference

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