Supplemental Application Form / Checklist

NutraCo Dietetic Internship Distance Dietetic Internship
Supplemental Application Form / Checklist

Directions: Complete the form in its entirety. Submit all required documentation along with this form to include Application Fee, Applicant Video, Cover Letter, and any secured Preceptor Qualifications Forms (Food Service-Healthcare, Clinical-Acute Care and Clinical-Long term Care – optional but preferred). Verify these were completed, as well as submission of DICAS application and prioritizing NutraCo Dietetic Internship for matching with D&D Digital, by initialing the Application Checklist.
Submit completed application and all supplemental materials to

To download the Supplemental Application Form / Checklist, please click here.

Supplemental Application is DUE FEBRUARY 15th 11:59 PM (CT)

Submit non refundable $75 application fee to NutraCo Dietetic Internship (can be a cashier’s check, money order, ACH bank transfer, or credit car + processing fee – NO personal checks) and Biopic Video to program director Christa Brown via email: Or mail to: NutraCo Dietetic Internship, 101 Crawfords Corner Road, Office 1325, Holmdel, NJ 07733