Virtual Practicum Student Application

Cover Letter/ Statement of Interest *

Max file size: 20MB

Resume/ Curriculum Vitae *

Max file size: 20MB

Eligibility Document (through ACLP) OR Proof of Completing Course Work (CLU accepts unofficial transcripts) *

Max file size: 20MB

Documentation of Volunteer Hours OR Verification from Volunteer Supervisor (This can be the ACLP form or a professional statement on any organizational letterhead) *

Max file size: 20MB

Two Letters of Recommendation are required for your application to be considered.
Please have your references email your recommendation letters to info@childlifeunited.org with your name in the subject line.

We will also allow you (as the applicant) to submit the recommendation letters if you have them in your possession from previous applications
(please email to info@childlifeunited.org with your name in the subject line).

Emergency Information

Languages

other languages and degree of skill (Learning, Basic, Fluent)

Academic Information

University Name *

Graduation Date or Anticipated Graduation Date *

GPA overall / GPA major *

Major *

Degree's *

Associate's Degree Bachelor's Degree Master's Degree PhD

By September 2, 2022 will you have completed the required introductory child life course taught by a CCLS? This is a prerequisite and must be completed prior to the start of the virtual practicum. *

Yes No

By September 2, 2022 will you have completed at least one child development course? This is a prerequisite and must be completed prior to the start of the virtual practicum. *

Yes No

EXPERIENCE WITH CHILDREN, YOUTH OR FAMILIES
Healthcare Setting

Please list all healthcare experiences (volunteer, practicum student). If additional space is needed use comment box.

Experience with Children, youth or families
Stressful situations

Please list all stressful situation experiences (camps for children with chronic illness, programs for children with special needs, advocacy programs, bereavement/ hospice).

Experience with Children, youth or families
Well Child

Please list all well child experiences (nanny, counselor, teacher).

Additional Work Experience

Essay Questions

Financial Assistance

If you choose yes to this question, please copy and paste the following link into another tab on your browser. Please ensure to submit the current practicum application prior to moving onto the google form which is our needs based scholarship application. *Note- the scholarship application is also due on 3/15
https://forms.gle/ci91m9uHAhW9NAqn8

Cohort Session:

Personal Information

Documents
(ALL DOCUMENTS MUST BE SUBMITTED IN PDF FORMAT TO BE ACCEPTED)

Emergency Information

Languages

Academic Information

EXPERIENCE WITH CHILDREN, YOUTH OR FAMILIES
Healthcare Setting

Experience with Children, youth or families
Stressful situations

Experience with Children, youth or families
Well Child

Additional Work Experience

Essay Questions

Financial Assistance

Cohort Session:

Personal Information

Documents ​(ALL DOCUMENTS MUST BE SUBMITTED IN PDF FORMAT TO BE ACCEPTED)

Emergency Information

Languages

Academic Information

​EXPERIENCE WITH CHILDREN, YOUTH OR FAMILIES Healthcare Setting

Experience with Children, youth or families Stressful situations

Experience with Children, youth or families Well Child

Additional Work Experience

Essay Questions

Financial Assistance

Documents
(ALL DOCUMENTS MUST BE SUBMITTED IN PDF FORMAT TO BE ACCEPTED)

EXPERIENCE WITH CHILDREN, YOUTH OR FAMILIES
Healthcare Setting

Experience with Children, youth or families
Stressful situations

Experience with Children, youth or families
Well Child