Clinical Internships

Student Clinical Placements

We offer opportunities for student placements throughout the year in select service lines and clinics. Please check what services we offer at each location using Our Locations tab.

Personal Information:

Name:(Required)

First Last

Email:(Required)

Phone:(Required)

How did you hear about NorthLakes?

Academic Information:

Academic Institution:(Required)

Current Year of Study:(Required)

Field of Study/Degree/Specialty:(Required)

Name of Advisor/School Contact(Required)

First Last

Email Contact Information of Advisor/School Contact:(Required)

Phone Contact Information of Advisor/School Contact:(Required)

Internship Request Details:

Start Date(Required)

End Date:(Required)

Number of Clinical Hours Required:(Required)

Please enter a number greater than or equal to 0.

Required Preceptor Credentials/License:

Preferred Preceptor/Supervisor:

First Last

Preferred Clinic Location:(Required)

Open to Other Locations? If so, please list:

Specific Area of Interest, if applicable (e.g., feeding therapy, Recovery services):

Expectations of Internship:

(Please include as much information as possible including if direct patient care/hands-on experience is required, frequency of supervisor check-ins with intern and/or school contact, special projects, etc. If available, please submit internship manual and/or include course objectives.):

Any additional comments or information you’d like to provide:

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