Student Shadowers / Volunteers

Interested in shadowing at our clinic? Please fill out the form below, and we will get back to you as soon as we are able!

Please note that we are limited in the amount of students we have shadowing at one time, but we will add you to our student list if we are at capacity at the time of your submission.

Thank you!

Name

First Name

Last Name

Phone

(###)

###

####

School/University Name

Program of Study / Major

Year in School

Reason for Interest in Pediatric Physical Therapy & Goals for Shadowing

What do you hope to learn or observe? **This contact form is for student inquiries only. Solicitors and sales inquiries may not use this form.

Year in School

Availability

Please select all that apply

Duration

Please include the amount of hours / weeks you are hoping to shadow, and how many days per week you'd prefer.

Other Details

Please share any other helpful details below. We will reach out to you regarding your request as soon as we are able!

Student Shadowers / Volunteers

First Step Pediatric Therapy, LLC