Skip to main content
Student Observation Application
Current degree you're pursuing in above school/program
Curriculum/Program Director Name
Email of above director
Director's Phone Number
Phone number of above director
Is an internship required by your curriculum?
Is a formal evaluation required by your program at the end of your internship?
Number of observation hours being requested
Experience - Andrews Sports Medicine
Tell us about the experience you would like to have as an observer/intern at Andrews Sports Medicine & Orthopaedic Center.
Are you requesting to shadow a specific physician, staff member or specialty/profession?
Internship Start Date
What dates are you available/requesting for your internship/observation?
Internship End Date
Date you would wish internship to end.
One file only.
4 MB limit.
Allowed types: txt jpg jpeg pdf png.