Music Therapy Internship Application

Marvin Picollo School

Washoe County School District

900 Foothill Rd

Reno, NV 89511

M. Diane Bell, MT-BC

Internship Director

WK 775-851-5650

Cell 775-843-4178

dmbell@washoeschools.net

Please Type

1. Name, address, email and phone

2. School, Degree, and Date.

3. Name the instrument(s) you can play and your comfort/proficient level from 1-5 with 5 being the highest. Indicate if you can accompany and improvise on the instrument in a therapeutic session.

4. What practicum sessions have you lead and or co-lead. Indicate which leadership level you participated in and what was the population, ages and time frames. Give an example of a therapeutic music experience or your part of the lesson for each practicum class.

Write a 30 minute sample therapeutic music experience for an autistic boy age 10 nonverbal, with very short attention span, lots of self stimming flapping, who likes the drums and cymbals, and has challenges with higher pitched instruments. Assume that you have whatever you need. This is your ideal lesson.

Write a 30 minute sample therapeutic music experience for a girl age 6 with Cerebral Palsy who loves music and is highly motivated with emergent Language.

What would you do when your lesson/intervention is not working? One or more options.

Do you know how to sign? SEE., ASL , or Combination? explain

How familiar are you with choirchimes and/or handbells? explain

How familiar are you with Sibelius or other music writing/printing? explain

How familiar are you with Sound Beam, Super Switch Ensemble, Garage Band, Band in a Box, and Board Maker by Mayer Johnson? Explain each

List 10 song you can sing & play by memory with accompaniment on the guitar

List 10 songs you can sing & play by memory with accompaniment on the piano/keyboard.

Please write a communication/language goal and two objectives that could provide steps to that goal. Use SMART form

Please write a social goal and two objectives that could provide steps to that goal. Use SMART form

Please write a cognitive goal (example colors, counting, body parts) and two objectives that could provide steps to that goal

List the experiences that you have had working collaboratively with other students etc and what role or capacity did you have?

Our school has a schedule which starts 2nd week in August, a one week break in October, 3 week break at Christmas, 2 week break first of April, with last weeks of school the 2nd week in June. Start would be the first of August or the first of September to get the 1040 hours completed. When are you available to start?

How comfortable are you with the auto harp and/or Omni or Q chord?

Interns are required to have a copy of their driver’s license for a background check. All volunteers have to have a background check to be around students in the Public School System. This has to happen at least 2 weeks before internship starts.

21. Do you have a car? Public transportation is 1 mile away on a rural road with no sidewalks. Be advised that it snows in the winter.

22. Have you written a grant? Would you like to?

23. Are you familiar with the SEMTAP - Special Education Music Therapy Assessment Process? If so to what degree? What assessments are you familiar with? Explain.

24. What do you feel are your strengths ?

25. What do you feel are your weaknesses? What have you done to address any of those?

26. What data collection systems have you used?

27. Where do you see yourself in 1 year, 5 years, and 10 years?

28. Can you do a personal interview at our site or at a national or western region conference.?

Please send a demo video or DVD of you doing a 30 minute lesson of your choice. You can use what ever means youtube link, email.

Please provide a letter of Verification from University Program MT Supervisor that pre-internship competencies will have been demonstrated prior to the commencement of internship.

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