Application for Music Therapy Internship

Name

First Middle Last

Local Address

Street Address Address Line 2 City State ZIP Code

Permanent Address

Street Address Address Line 2 City State ZIP Code

Mobile Phone

Home Phone

Email

High School Name

High School Address

Street Address Address Line 2 City State ZIP Code

Current College/University Name

Current College/University Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other College/University Name

Other College/University

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Complete The Following

Upload current CV/Resume

Max. file size: 256 MB.

Upload current, unofficial college transcript(s). Official Transcript may be requested at a later date:

Max. file size: 256 MB.

Also submit two Letters of Recommendation.

I agree to inform my contact for Letters of Recommendation

send your contacts this link [ https://lifeprocesscenter.org/letters-of-recommendation/ ]

Two letters of Recommendation, one of which must come from your Director of Music Therapy Program where you fulfilled your music therapy degree requirements.

Include a short paragraph on your philosophy of Music Therapy

0 of 500 max characters

Signature

I agree to the disclosure policy.

I have completed this form as accurately as possible. I understand that this information will be shared with the Director of the Franciscan Life Process Center along with the supervising music therapists.

I also understand that if I am accepted into this Program, my participation will be reviewed and evaluated by the Director of the Music Therapy Program and that evaluation will be shared with my educational instructors and those persons supervising my degree program. It may also be shared with prospective employers.

I consent to the disclosure of my evaluation and reviews for educational and employment purposes.

Legal Name

Date