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If you have required hours in your practicum/internship program, please indicate how many hours are needed:

If you have supervisor requirements (Masters/LPC/LCSW) please list them here:

Please provide any other specifics for your internship requirements:

We have a limited number of openings for clinical interns each semester. Please briefly state why you are interested in interning with The Barry Robinson Center:*

What goals or accomplishments do you hope to gain from interning at the Barry Robinson Center?:*

Please provide your hours/availability:*

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Internships

"*" indicates required fields

First Name*

Last Name*

Email Address*

Phone Number

Is your academic degree program:

If graduate program, are you in:

University/College:*

Field of Study:*

Timeframe for internship:*

If you have required hours in your practicum/internship program, please indicate how many hours are needed:

If you have supervisor requirements (Masters/LPC/LCSW) please list them here:

Please provide any other specifics for your internship requirements:

We have a limited number of openings for clinical interns each semester. Please briefly state why you are interested in interning with The Barry Robinson Center:*

What goals or accomplishments do you hope to gain from interning at the Barry Robinson Center?:*

Please provide your hours/availability:*

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Comments

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