Thank you for your interest in applying to EBCLC’s summer internship program. Please complete the form below.

NOTE: If you do not complete all required fields of the application, your application will not be submitted! If you have successfully submitted your application, you will be redirected to a confirmation page. If you are returned to the top of this page after clicking “Submit”, please review your application and complete all red fields.

Please email clinical@ebclc.org if you are having further technical difficulties when submitting this application.