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Internship Application Form
Completion of this form will notify the Internship Director of you interest in applying for the Music Therapy Internship at Spectrum Creative Arts.
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Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
University/College
*
Your answer
Name of your director supervisor at academic program.
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Your answer
Direct supervisor's contact phone number.
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Your answer
Major/Minor Course of Study
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Your answer
Primary/Secondary Instruments
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Your answer
Anticipated Start Date
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You can select more than one option.
September 2023
October 2023
September 2024
October 2024
Other:
Required
Do you have any convictions, or history of criminal charges, that would be revealed in a background check?
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Yes
No
Other:
Have you ever been formally disciplined by an employer, clinical supervisor, or college representative?
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Yes
No
Other:
What sparked your interest in applying for the music therapy internship at Spectrum Creative Arts?
*
Your answer
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