Internship Application

Complete the application below to be considered for The Virginia Home internship program.

Applicant Info
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
University Info
University Attending
Major / Concentration
Year
- Freshman
- Sophomore
- Junior
- Senior
Expected Graduation Date
Overall GPA
Intended Internship Semester
- Fall
- Spring
- Summer
References
Name
Relationship
Phone
Email
Years Acquainted
Name
Relationship
Phone
Email
Years Acquainted
Name
Relationship
Phone
Email
Years Acquainted
Statements
Why did you choose the field of Recreation Therapy?*
Why did you choose to apply for an internship here at The Virginia Home?*
How did you hear about The Virginia Home?
Upload Cover Letter
Accepted file types: pdf, doc, docx, txt, Max. file size: 100 MB.
Upload Résumé
Accepted file types: pdf, doc, docx, txt, Max. file size: 100 MB.
Upload Transcripts
Accepted file types: pdf, doc, docx, txt, Max. file size: 100 MB.
Phone
This field is for validation purposes and should be left unchanged.

Applicant Info