The rehab volunteer application is only for pre-OT/PT/speech students.
In order to complete this application, you will need a valid e-mail address. Please be sure to type your e-mail address correctly, as it will be used as a communication tool in the application process.
All items marked with a star * are required fields.
When you have completed the application, please click the "continue" button at the bottom of the page.
After submitting an application, you have 30 days to submit your complete immunization records to our offices. Incomplete applications will not be kept after this 30-day period.