American Music Therapy Association



			American Music Therapy Association, Inc. 8455 Colesville Road, Suite 1000 Silver Spring, Maryland 20910, USA Phone: (301) 589-3300 Fax: (301) 589-5175
		Welcome to the Professional World Intern Packets

About the Intern Packets

These packets are a resource offered to current music therapy interns who have reached the mid-point of their internship. The packets are designed to help make the transition from student to professional and are filled with information from AMTA, resources and tips for the new professional, and valuable coupons for the first year of your career as a professional music therapist. Current music therapy interns at the mid-point of their internship can each receive one complimentary packet from AMTA. We're sorry, but duplicate packets cannot be mailed. The coupons inside are time sensitive; please read the usage instructions when you receive your packet. You must be a current music therapy intern at an approved music therapy internship site and in the third month or later of your internship to receive this packet.

If you would like to receive a packet, please complete this form and mail or fax to: AMTA; Attn: Angie Elkins, MT-BC, Director of Membership; 8455 Colesville Road, Suite 1000; Silver Spring, MD 20910; Fax: (301) 589-5175

Intern name: __________________________________________________

Internship Site Name: __________________________________________

Internship site is: (please check one)

AMTA Approved National Roster Internship Site
University Affiliated Internship Site

School attended: ______________________________________________

Dates of internship: (beginning date) ____________ (ending date) ___________

Internship director/On-site supervisor signature:
(Required - If university affiliated internship, on-site supervisor may sign)

_______________________________________________________________

Address of intern: (Note: please list your permanent address. Your AMTA records will be changed to reflect this address and all AMTA materials will be sent here unless you specify otherwise.)

_______________________________________________________________

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	AMTA is a 501(c)3 non-profit organization and accepts contributions which support its mission. Contributions are tax deductible as allowed by law. Copyright © 1999, American Music Therapy Association.