Winter Internship Application
Soc. Sec. Number
Length of Internship
What volunteer or work experience do you have working with people with disabilities?
Please check the disabilities you have direct working or volunteer experience with:
Spinal Cord Injuries
Traumatic Brain Injuries
ADD / ADHD
What experience do you have for summer and/or winter recreation activities? (Please be specific)
What experience do you have in therapeutic recreation?
What is your main interest in applying for our internship program?
(Optional) Do you have a disability?
What accommodations can we provide to assist you?
Please comment on specific content area(s) or disabilities you would like experience with during your internship:
Please tell us about yourself:
Please tell us about the skills you can bring to our program: