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| Are you applying for: |
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| Are you applying for a pediatric specialty internship?: |
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| Are you able to complete a 12-week, full-time (30-40 hours/week) internship?: |
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| ACH has housing available in St. Petersburg on a limited basis. Are you interested in housing?: |
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| Preferred Locations: |
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| Learning Style: |
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| How often do you prefer to have meetings with your clinical instructor?: |
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