Student Observation Application

Current degree you're pursuing in above school/program
Curriculum/Program Director
Email of above director
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
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.