Returning Intern Application
Application for interns who want to continue their clinical internship
Email? *
Full Name (First/Last) *
Are you applying for the Fall or Summer session? *
Which semesters have you complete and which semester do you wish to continue? 
ex. I completed Fall 2021 and want to continue Spring 2022
*
How many hours have you completed so far?
*
Expected graduation date? 
ex. May 2024
*
What have you learned during your internship experience so far and how can you use that
knowledge in another semester of interning, within your academic pursuits, and/or within
your everyday life?
*
What do you feel the most and least comfortable doing in the clinic currently?
*
In your own words, what does it mean to be a role model?
*
How would completing another semester of the internship be beneficial to you?
*
In your experience, what kind of role does teamwork play at SPARCC?
*
Are you interested in any other of our internship programs (clinical, rehabilitation, research)?
*
Please select which day or days you are available. Interns are expected to come in one half day a week. ONLY select dates you know you have open. Failure to acknowledge previously given availability will result in automatic rejection. These are the ONLY shift times available. If your schedule does not allow you to select one of these times below, it is suggested you not apply. We will not make exceptions
提交
清除表单内容
切勿通过 Google 表单提交密码。
此表单是在 SPARCC Sports Medicine 内部创建的。 举报滥用行为