SUMMARY - Phoenix Children's Hospital



PHOENIX CHILDREN’S HOSPITALCHILD LIFE PRACTICUM APPLICATIONApplication Checklist Please include all materials together in one envelope. Do not send items separately. Do not send extra/additional items. ?1. Application Completed, typed practicum application ?2. Resume Include all relevant experiences ?3. College or University TranscriptsUnofficial transcripts or photocopies of official transcripts ARE acceptedTranscripts must include cumulative GPA?4. Verification of Work with Children HoursLetter from employer/supervisor verifying time spent working or volunteering with children in any setting ?5. Verification of Medical Setting Volunteer Hours Letter from employer/supervisor verifying time spent working or volunteering with children in a medical setting?6. Letters of Recommendation Two current (within the past year) letters of recommendation with at least one letter from someone who has observed you working directly with childrenLetters can be addressed to “Phoenix Children’s Hospital Practicum Committee” and should be in sealed, author-initialed envelopes?7. CPR CertificationCopy of current CPR certification cardSend completed application packet to:Child Life Department – Practicum Committee Phoenix Children’s Hospital 1919 E. Thomas Road Phoenix, AZ 85016Personal InformationName: click here to enter full nameAddress: click here to enter full addressCell Phone: click here to enter cell # Alternate Phone: click here to enter alternate #E-mail Address: click here to enter email addressApplication Type (select one) ? University-Affiliated (practicum hours will count toward course credit)? Independent (practicum hours will NOT count toward course credit)If you will be receiving academic credit for your practicum, please provide the following information:University Name: click here to enter university name Major: click here to enter majorGraduation Date: click here to enter graduation dateSupervisor/Advisor Name: click here to enter advisor nameE-mail Address: click here to enter advisor email Phone: click here to enter advisor phone University Department Address: click here to enter full university addressCollege EducationInstitution 1: click here to enter institutionDegree/Major: click here to enter degree/majorGraduation Date: click here to enter graduation dateCumulative GPA: click here to enter GPAInstitution 2: click here to enter institutionDegree/Major: click here to enter degree/majorGraduation Date: click here to enter graduation dateCumulative GPA: click here to enter GPAChild Life Course – minimum 1 class taught by a certified child life specialist Course TitleInstitution# of CreditsGrade1click here to enter course titleclick here to enter institution# of creditsgradeclick here to enter extra course titleclick here to enter institution# of creditsgradeRelated Coursework – minimum additional 5 classes in child life, child development, family systems, play, psychology, loss/bereavement, death/dying, or related fieldsCourse TitleInstitution# of CreditsGrade1click here to enter course titleclick here to enter institution# of creditsgrade2click here to enter course titleclick here to enter institution# of creditsgrade3click here to enter course titleclick here to enter institution# of creditsgrade4click here to enter course titleclick here to enter institution# of creditsgrade5click here to enter course titleclick here to enter institution# of creditsgradeclick here to enter extra course titleclick here to enter institution# of creditsgradeclick here to enter extra course titleclick here to enter institution# of creditsgradeShort Answer Questions Describe a significant experience you had with a child. (200 – 300 words) click to begin response here Describe your career aspirations and interest in the child life profession. (200 – 300 words) click to begin response hereWhat do you hope to gain from your child life practicum experience? (200 – 300 words)click to begin response here ................
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