CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA
ST. PAUL/MINNEAPOLIS--CHILD LIFE DEPARTMENT
APPLICATION FOR CHILD LIFE INTERNSHIP
Please complete the following application and include all requested documents/references.
Major/Concentration: Graduation Date:
Advisor’s Contact Information, phone/e-mail:
Applying for: Summer (June-August) Fall (Sept.-Dec.) Spring (Feb.-May)
Is this your first experience in child life? Yes No ___
If not, where have previous placements been?
Is this internship part of a university requirement for your major? Yes No___
If so, please indicate or attach specific requirements.
While recognizing that distance can make site visits difficult, we do require personal interviews.
PLEASE ATTACH THE FOLLOWING TO THIS APPLICATION: All materials must accompany
application. Do not send separately.
• College transcript
• 3 written references
• Your resume
• A description of specific skills and experiences you would like to gain during this internship
• A written statement explaining how your academic career and work/volunteer experiences have
prepared you for an internship
PLEASE NOTE: Only complete applications will be considered for review
Mail to: Diane Dingley, MS, CCLS or: Lori Olson, MA, CCLS
Children’s Hospitals and Clinics Children’s Hospitals and Clinics
Child Life Department MS 32-7210 Child Life Department MS 70-503
2525 Chicago Avenue 345 N. Smith Ave.
Minneapolis, MN 55404 St. Paul, MN 55102
Date Postmarked _______________