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Graduate Student Placement Application

CST Academy is dedicated to providing opportunities for aspiring clinicians through our practicum and fieldwork placement program. Please complete the form below to be considered for a placement with our team.

"*" indicates required fields

Name*
Address
Field of Study*
What settings were these placements in? (Check all that apply)
If offered an interview, are you willing to travel to our office in Chicago?
Does your school already have an affiliate agreement with our practice?

Placement Coordinator Contact Information

Name*

Dates of Placement

Anticipated Days of the Week*

Short Essay

File Uploads

Max. file size: 100 MB.
Max. file size: 100 MB.
Include a video with your application here. Don't worry, you don't need to be Steven Spielberg. Let your unique personality shine by telling us about your background experiences and why you are interested.

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