Application for Field Experience Hours & Recreational Therapy Field Experience Hours Name: First Last Phone:Email:* University: Standing: Freshman Sophomore Junior Senior Graduate Total Field Experience Hours Required:Total Field Experience Hours Completed:Field Experience Hours Due Date: MM slash DD slash YYYY Are you interested in paid opportunities to earn non-C.T.R.S. field experience hours? Yes No Total C.R.T.S Hours Required:Total C.R.T.S Hours Completed:C.T.R.S. Hour Due Date: MM slash DD slash YYYY Shadowing Locations Desired:Are you willing to commute? Yes No Do you have the ability to commute independently? Yes No Dates and Times Available:(Be specific - please list any anticipated interruptions in scheduling [vacations, family commitments, final exams, athletic competitions, etc.])What population would you like to work with after graduating? What setting would you like to work in after graduating? What state would you like to work in after graduating? Please list any other relevant information:CAPTCHA
