The Sports Pod | Intern Application Form
Which Intern Opportunity are you looking for?
Intern Shadowing
Intern Externship
Information about you
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram handle (ie. @thesportspod)
Information about your School
School Name
What Tri/Year are you in?
Ex. Tri 5 - 2nd year
Current GPA
What Clubs are you in at school?
Graduation Date
-
Month
-
Day
Year
Date
Clinic Supervisor
Supervisor Name (1)
First Name
Last Name
Supervisor Title (1)
Supervisor Email (1)
example@example.com
Supervisor Phone Number (1)
Please enter a valid phone number.
Format: (000) 000-0000.
1. What (do)(did) you like most being in clinic?
1. What (do)(did) you least enjoy about being in clinic?
1. When we ask your supervisor to rate your performance overall from 1-10, what score would they give you?
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
1. What would your Clinic Supervisor rate your attitude in clinic?
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
1. What will your Clinic Supervisor say about what your strengths are?
1. What will your Clinic Supervisor say about what your weaknesses are?
Supervisor
Information on your supervisor from Company 2
Supervisor Name (2)
First Name
Last Name
Supervisor Title (2)
Supervisor Email (2)
example@example.com
Supervisor Phone Number (2)
Please enter a valid phone number.
Format: (000) 000-0000.
2. What (do)(did) you like most about being in Clinic?
2. What (do)(did) you least enjoy about being in Clinic?
2. When we ask your supervisor to rate your performance overall from 1-10, what score would they give you?
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
2. What would your Clinic Supervisor rate your attitude in clinic??
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
2. What will your Clinic Supervisor say about what your weaknesses are?
2. What will your Clinic Supervisor say about what your Strengths are?
Professor
We'd like you to provide us a reference to one of your in class professors
Prof Name
First Name
Last Name
What did this Prof teach?
Prof Email
example@example.com
Prof Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
3. What (do)(did) you like most about this Professor and this class?
3. What (do)(did) you least enjoy about this Professor and this class?
3. When we ask your Professor to rate your performance at your job from 1-10, what score would they give you?
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
3. When we ask your Professor to rate your attitude from 1-10, what score would they give you?
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
3. What will your Professor say about what your Strengths are?
3. What will your Professor say about what your weaknesses are?
The Sports Pod
Which Location would you like to shadow?
Please Select
Dallas
Plano
Either
How did you hear about The Sports Pod?
Google
R2P
Professor
Instagram
Facebook
TikTok
Current SP Client
Friend
Other
if 'Other'
Why do you want to shadow at The Sports Pod
What do you know about The Sports Pod?
What do you want to learn while you are here at The Sports Pod?
What other externships are you currently considering?
What are you expectations in an Externship?
How do you want to practice when you graduate?
Straight Subluxation Based Practice
Just Rehab
Soft Tissue + Rehab + Chiropractic
Soft Tissue + Rehab + Needling + Chiropractic
Other
if "other"
Do you have any specific questions for us?
Soft Tissue Experience
New
1
2
3
4
Experienced
5
1 is New, 5 is Experienced
How would you rate your understanding of rehab?
Not good
1
2
3
4
Excellent
5
1 is Not good, 5 is Excellent
How well are you at receiving constructive criticism
Not Well
1
2
3
4
Constantly seeking Feedback
5
1 is Not Well, 5 is Constantly seeking Feedback
When you graduate, what are you expect your compensation to be?
Please elaborate on above, and any other benefits you'd be expecting
Cultural Index
You're in the home stretch! We kindly request fill out this final survey as we are eager to gain further insights into how you would fit into our team. Please take a moment to complete the survey and share your valuable feedback. Thank you for your time and cooperation!
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