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Supervised Fieldwork Questionnaire
Academy for Precision Learning
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Email
*
Your email
Thank you for your interest in Academy for Precision Learning
First and Last Name
*
Your answer
What university/college program are you in?
Your answer
When is your expected date of graduation? If you haven't yet started, what is your expected date of starting?
MM
/
DD
/
YYYY
How many hours have you accrued thus far in another placement?
Your answer
What client age group are you interested in?
Your answer
What experience have you had in the field?
Your answer
Are you a
RBT
CBT
Other:
What is your availability?
Part time
Full time
Morning hours
Afternoon hours
Other:
Please add any additional information about yourself or details about your answers above. Thank you for your interest in APL.
Your answer
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