Application Requirements
Florida Department of Health in Pasco County
- 727-861-5250
- Pasco.Web@FLHealth.gov
-
Mailing Address
10841 Little Road
New Port Richey, FL
34654
The following documents must be submitted by the following deadlines:
- Pre-Select Candidates: September 1st – November 1st
- Computer Matching Candidates: February 15th
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Required documents for application to the WIC and PAL Tracks:
- Signed Application Checklist
- Completed Application
- Official “Verification Statement of Completion” or “Declaration of Intent to Complete” form from an accredited Didactic Program in Dietetics (DPD)
- One official sealed transcript per institution attended
- Three Academy Waiver and Recommendation forms (one is required from a current supervisor and two are chosen from the following three options):
- former supervisor
- instructor/professor
- professional mentor
- Letter of Intent that addresses (limit to one typed page, 12 pt. Times New Roman font, single spaced):
- The reason for entering dietetics
- Short- and long-term goals
- Personal strengths and areas for improvement
- Attributes important for candidate selection
- Reason why you are applying to our public health program
- Your expectations from our program
Additional Requirements for the WIC Track:
- Signed WIC Eligibility Statement (Pre-Select only)
- Completed Regional Site and Status Selection form
- A $50 non-refundable application processing fee (Make check or money order payable to Florida Department of Health in Pasco County.)
Additional Requirements for the PAL Track:
- A $250 non-refundable application processing fee (Make check or money order payable to Florida Department of Health in Pasco County.)
Application Forms
Pre-Select Forms
Application Checklist (PDF 112 KB)
WIC Eligibility Statement (PDF 175 KB)
Waiver and Recommendation Form (PDF 77 KB)
Regional Site and Status Selections (PDF 284 KB)
Matching Forms
Application Checklist - Matching PAL Track
Application Checklist - Matching WIC Track
Application Process - Pasco County
Regional Site Selection - Matching WIC Track
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