Internship and Job Shadowing Request Form

Name

First NameLast Name

Phone Number

Area CodePhone Number

Email Address

example@example.com

I am:

A current high school studentA current undergraduate studentA current graduate studentNone of the above

Current school

Current grade/year (if applicable)

Area of interest (please check all that apply)

Occupational TherapyPhysical TherapySpeech/Language Therapy

Thank you for your interest in internships and/or job shadowing at The Boston Ability Center! Please read the important information found below about these opportunities at the BAC.

INTERNSHIPS:

Internships at the Boston Ability Center are unpaid at this time.
In order to be eligible for an internship, students must be able to affiliate the internship with a school (i.e. completing an internship for academic credit, completing it as part of a course project, and/or completing it as part of a school-approved independent study).
During their time at the BAC, interns may complete tasks such as, but not limited to:
- Joining for/assisting during treatment sessions
- Observing
- Cleaning and organizing
- Setting up/transitioning treatment spaces between patients
- Activity and material prep
- Administrative tasks
Our centers are open Monday-Thursday from 7am-6:30pm, Fridays from 7am-5:30pm, and Saturdays from 8-2:30pm. Internships are typically easiest to complete during our busy afternoon hours!
A member of our team will review your request and be in touch if we have availability that meets your needs. If so, next steps would involve scheduling a time for an interview and contacting your references to ensure that an intership at the BAC is the right fit.

JOB SHADOWING:

Job shadowing is typically offered to interested individuals for approximately 3 periods of time (ex: Mondays from 2:30-6:30 for 3 weeks). Our centers are open Monday-Thursday from 7am-6:30pm, Fridays from 7am-5:30pm, and Saturdays from 8-2:30pm. Shadowing is typically easiest to complete during our busy afternoon hours!
Job shadowing does not need to be affiliated with a school
Job shadowing consists primarily of observation, with some active invovlement in sessions at the treating clinician's discretion

I understand the information above and am interested in:

An internshipJob shadowing

Requested (approximate) start date:

Requested (approximate) end date:

Required number of weeks/hours:

I am able to commute to (please check all that apply)

BAC's Wellesley office (49 Walnut Park Building 3 - minimally accessible via public transportation)BAC's Natick office (10 Tech Circle - NOT accessible via public transportation)

Please list your availability during the requested timeframe listed below. Please be sure to take into account any travel, and list only times when you would be able to physically be in our offices. *

	Availability in Wellesley office (open Mon-Thurs 7-6:30, Fri 7-5:30, and Sat 8-2:30)	Availability in Natick office (open Mon-Thurs 7-6:30, Fri 7-5:30, and Sat 8-2:30)
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays

Additional requirements: please describe any required projects, mentorship meetings, assignments, etc. and what you anticipate needing from a contact at BAC for those assignments (if applicable)

Please upload your resume

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Please list the names and contact information of at least 2 references*

	Name	Relationship to applicant	Email	Phone
1
2
3
4

Is there any additional information that you would like to share surrounding this internship request?

Please list availability for job shadowing (please include specific dates/days/times). Our offices are open Mon-Thurs 7-6:30, Fri 7-5:30, and Sat 8-2:30.

I am able to commute to (please check all that apply)

BAC's Wellesley office (49 Walnut Park Building 3 - minimally accessible via public transportation)BAC's Natick office (10 Tech Circle - NOT accessible via public transportation)

Is there any additional information that you would like to share surrounding this job shadowing request?

Please upload your resume

Browse Files