CDIS 4510 Select Undergraduate Clinic Application

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Applications for Spring Semester are due Friday, October 28th by 5 p.m.

First and last name: *

UNO email address: *

Phone Number: *

Date of Application: *

Semester and year you're applying for: *

Will you have completed CDIS 4490 by the time of enrollment in CDIS 4510? *

Yes

No, would be taking concurrently with CDIS 4510

Will you have completed CDIS 4500 by the time of enrollment in CDIS 4510? *

Yes

No, would be taking concurrently with CDIS 4510

Please describe why you are interested in an undergraduate clinical experience *

Describe what you would bring to the experience compared to other applicants (what unique knowledge and/or skills do you have that may support you during an undergraduate clinic experience?) *

Why are you interested in becoming a speech-language pathologist? *

Do you plan to apply to UNO's SLP Graduate Program? *

Yes

Where do you see your career in 5 years and 10 years? *

Tentative class schedule for the semester you would be taking during CDIS 4510. If the class schedule is not posted yet, list the classes you will be taking. *Please note that the clinic schedule is based on your class schedule, not work or other obligations. *

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