Child Life Application

Personal Information

Please fill in the fields below.

First Name*:

Last Name*:

Phone*:

( ) -

Email*:

College*:

Degree*:

Level (check one)*:

Please upload the below documents for candidacy consideration. Files must be a .doc, .pdf, or .jpg.

Common Child Life Internship Application*:

Resume*:

Eligibility Assessment*:

Transcript (Unofficial transcript is acceptable)*:

Verification Forms for Practicum/Experiences:

Recommendation Form:

Additional Supportive Information: