School Internship Application Spring 2019
Please fill out this form to apply for your school/pediatric internship. Deadline: Wednesday, August 29, 2018 by 4 pm.

This internship experience includes School Internship (SLHS 715) + Student Teaching Seminar (SLHS 725)

**You must have taken the following prerequisites: SLHS 701, 707, 708, 709, 710, 768.
**You must also have completed at least two SLHS 880 (on-campus) clinics. At least one of these clinics must be a child clinic.
**You must submit a formal student teaching application to BH 156 with all supporting documents (i.e., Faculty signed application, CAP form, fingerprinting, CBEST passed, Credential fee paid).
(For detailed information on preparing for the school internship, see

First Name *
Your answer
Last Name *
Your answer
SFSU Email Address *
Your answer
Phone Number *
Your answer
What is your expected date of graduation? *
Are you participating in a training grant? *
Do you speak any languages other than English? If so, please write the language(s) below & describe your proficiency in each language. Please also indicate if you would like to be placed in a setting where you can use the language(s).
Your answer
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