Student Internship + Fieldwork Program InquiryPlease fill out the below form if you or your program is interested in participating in our Student Program. We welcome students from all over and in all disciplines. Please enable JavaScript in your browser to complete this form.Student or School Liaison Name *FirstLastPhone Number *Email *School + Program Name *Program Contact Name *FirstLastProgram Contact Email *Area of Study *Occupational TherapyPhysical TherapySpeech TherapyDates of Internship *Please include a start and end date so we can determine if we have availability. Any Other Helpful Information We Should Know *Submit