The Courier Program is an eight week, rural and public health, service-learning program with a rich and adventuresome history that targets college students with interest in public health, health care or a related field. The Courier Program offers a unique opportunity for students to gain insight into the challenges and opportunities of providing healthcare in rural and underserved areas. Throughout this eight week program, Couriers become immersed and engaged through their Courier Clinic Site. These sites are often remote, located in culturally unique communities in Appalachia and elsewhere. During their time on site, Couriers will shadow a variety of clinicians and provide leadership on special projects, as well as other avenues of community participation. Courier's experience help them to fully comprehend the complexities of rural and underserved communities and health care, as well as grasp the compassionate and caring legacy established by our founder, Mary Breckinridge, which is carried on by FNU students, alumni, couriers and faculty. The Courier Program has a “Hearts On, Hands Off” approach to learning. Couriers learn by observing their clinic site mentors, speaking with patients, assisting with special projects such as health booths, brochures on health related topics, leading events and other projects. Couriers may participate in any activity which does not require formal medical or healthcare training. Couriers leave with a profound understanding and deep respect for the communities they serve during their time as a Courier.