Physical Therapy Student Clinical Affiliation Program Application

To apply for the Physical Therapy Student Clinical Affiliation Program at NYU Langone’s Harkness Center for Dance Injuries:

1. Please reply to Harkness@NYULangone.org with ALL of the following information:

Copies of unofficial transcripts for both your Undergraduate AND Graduate programs
Copies of certificates of additional qualifications
Two letters of recommendation
Updated CV / resume, including a dance CV if applicable
Information on any Professional Memberships
Information related to any research experience
Information related to any dance experience including training, performing and / or teaching

2. Please complete and submit the fields below:

Positions are offered in the spring semester only (January through May); you must submit your application by January 31 of the year before your desired starting date.

Indicates required field

First and Last Name

Date of Birth

Phone

Email Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Undergraduate Institution

Degree Program

Additional Degrees or Certifications and Dates Earned

Type of Dance Studied. Provide the name of the school or company and dates attended.

Date Range Available for Physical Therapy Student Clinical Affiliation Program

Career Aspirations

Reference No. 1

Reference No. 2

Reference No. 3

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Physical Therapy Student Clinical Affiliation Program Application | NYU Langone Health

Physical Therapy Student Clinical Affiliation Program Application