Greetings, all
This may be of interest to students who are looking to
add an internship for the 7 week course.
A fillable application form are attached.
Students should contact Dr Sharon Arkin (mailto:arkinaz@earthlink.net) directly.
I have two registered memory-impaired seniors without a
partner. Required are 2 2-hour sessions per week on non-consecutive days.
Available times are Tues. and Thurs. between 10 and 6, Mon. between 11:15 and
6, Wed. and Fri. between 2:15 and 6. Weekends - 9-6. They will supervise an
assigned partner in an hour of physical exercise and an hour of memory and
language stimulation activities at each session.Training will be provided. They
will need to have or register for CPR certification.
Sharon Arkin, Coordinator
JCC Elder Rehab program
603-2912
Tucson
Jewish Community Center
Elder
Rehab Student Application Form
Date
Submitted Date/Time
Received _
Name____________________________ Available Fall 2017?_____ Spring 2018?_____________
Specify time periods when you are available.
2 hour time periods available on: Tues. between 10- 6:_______ Thurs. between 10-6:_______ Mon. between 2-6_____ Wed. between 2-6_____ Fri. between 2-6_____ Sun. between 10-6_____
Email
Phone Number _________Current
CPR?____- (required before
beginning internship or volunteering)
Current
Semester (as of fall ’17): (1sts, 2nd, etc.) Major
Career
Goal Grad
School?
Local
Address Zip
Code
Living
arrangement (alone, w/ roommate(s), etc.)
Parents’
Names:
Parents’
(Your permanent) address
Parents’
Phone Number: Email:
Do
you have a car or access to a car? License? Car Insurance?
Can you get
parents’ OK to drive another student or your senior partner in your car?
Describe any
experience working out on gym equipment, such as treadmill, stationary bike,
weight machines or other physical activities (i.e., yoga, dance, sports, etc.).
Name______________
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