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Clinical Internship Application

Clinical Internship Application

This application will be used by all students applying for a position as an intern with Ashley's inpatient, outpatient or extended care clinical teams.

"*" indicates required fields

Name*
Which of the following statements best describes how committed you are to working in the field of Substance Use Disorder treatment after you graduate?*
What degree are you currently working to obtain?*
What is your major?*

What school do you attend?*

Do you currently have any of the following credentials in Maryland?*
(Select all that apply)
What is your availability?*
(Select all that apply)
What are the total number of hours needed to complete your internship?*
Expected internship start date.*
Expected internship end date.*
Max. file size: 50 MB.