Clinical Internships

We offer opportunities for student placements throughout the year in select service lines and clinics.

If you are interested in a student placement with us please complete a student interest form.

Clinical Internships

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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