Internship Application

All those seeking an internship in either therapeutic recreation, adaptive training (exercise science), and/or another related field for Disabled Athlete Sports Associations must complete the following application prior to their involvement.

*Please note: Completion of this form does not guarantee a position as a DASA therapeutic recreation intern.

First Name

Last Name

Address

City

State

Zip Code

Phone Number

Email Address

Current Occupation

Date of Birth

Gender

Emergency Contact First and Last Name

Relationship

Emergency Contact Phone Number

DASA interns must complete the Liability Waiver and Media Release in order to participate in our activities.

Liability Waiver Link (Part 1) | Medial Release (Part 2) ------need link-----

I have completed both: (links above)

Liability Waiver

Media Release

Message / Comments

Internship Application

Information Summary

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