Therapeutic Recreation Internship Application Form
Home Address ______________________________________________
Phone Number ____________Email (optional)_______________
Beginning and Ending Internship Dates ______through
ways would you be an asset to Catawba Hospital during your Internship?
What is your philosophy of Therapeutic Recreation?
you hope to gain from your internship experience? Explain.
list all of your pre-internship clinical experience. Please list site names, types of facilities, dates, client
populations served, responsibilities and unique experiences at each site.
send this completed application, three letters of recommendation including one
from your internship advisor, and a copy of your official college transcript to:
Autumn M. Hiduskey, CTRS Brenda Kaye S. Cress, CTRS
Adjunctive Therapy Department Adjunctive Therapy Department
Catawba Hospital Catawba Hospital
PO Box 200 PO Box 200
Catawba, Virginia 24070 Catawba, Virginia 24070
(540) 375-4303 or 375-4347 (540) 375-4303 or 375-4347