Catawba
Hospital
Catawba, Virginia
Therapeutic Recreation Internship Application Form
Home Address ______________________________________________
School
Address______________________________________________
School
Phone Number ____________Email (optional)_______________
Advisor
______________________ Phone______________________
Name
of College/University____________________________________
Desired
Beginning and Ending Internship Dates ______through
______
1.
In what
ways would you be an asset to Catawba Hospital during your Internship?
2.
What is your philosophy of Therapeutic Recreation?
3.
What do
you hope to gain from your internship experience? Explain.
4.
Please
list all of your pre-internship clinical experience. Please list site names, types of facilities, dates, client
populations served, responsibilities and unique experiences at each site.
Please
send this completed application, three letters of recommendation including one
from your internship advisor, and a copy of your official college transcript to:
Autumn M. Hiduskey, CTRS Brenda Kaye S. Cress,
CTRS
Adjunctive Therapy Department
Adjunctive Therapy Department
Catawba Hospital
Catawba Hospital
PO Box 200
PO Box 200
Catawba, Virginia 24070
Catawba,
Virginia 24070
(540) 375-4303 or 375-4347
(540) 375-4303 or 375-4347