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Physical Therapy Clinical Rotation Application

For graduate level students

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Question 1 of 12

Current College/University, and Field of Study:

Question 2 of 12

Year in Current College/University (internship must be performed in the third year, understanding that the scheduling process typically occurs in second year):

Question 3 of 12

Undergrad College/University, and Field of Study:

Question 4 of 12

Length of Internship, and desired dates of Internship: 

Question 5 of 12

Is the internship for school credit?

A

Yes

B

No

Question 6 of 12

Additional relevant information regarding school requirements for internships (type below):

Question 7 of 12

Relevant past experience:

(Select all that apply)
A

I have had at least 1 full time orthopedic clinical experience.

B

I have had a full time sports physical therapy clinical experience.

C

I have personal training experience.

D

I have sport performance training experience.

E

I have sport coaching (skill/team) experience.

F

I have athletic training experience.

Question 8 of 12

Please view this video and provide commentary on inefficiencies in form, probable causes, and a 3 session treatment plan: https://www.youtube.com/watch?v=v5E4v_95LK0

Question 9 of 12

Please upload a copy of your resume.

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Question 10 of 12

Please upload a copy of your current CPR certification.

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Question 11 of 12

Please upload a letter of recommendation (number 1 of 2). 

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Question 12 of 12

Please upload a letter of recommendation (number 2 of 2).

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