Child Life Internship Reference Form

Please complete the information below. The reference is for a child life intern position at Dell Children’s Medical Center. The internship is a 15 week clinical experience designed as the final step in the process to obtain certification as a child life specialist. The internship is designed to train individuals to work with children and families in healthcare settings and to promote effective coping through play, preparation, education, and self-expression activities. This submission will be routed to the Dell Children’s Child Life Education Committee and not sent to the applicant.

  • May we contact you for further information? * Required
  • In what context? * Required
  • Please check the rating that is most applicable.

  • Child Development Knowledge * Required
  • Compassion and Concern for Others * Required
  • Interactions with Children * Required
  • Interactions with Families * Required
  • Problem Solving * Required
  • Communication Skills * Required
  • Critical Thinking * Required
  • Ability to take direction and feedback * Required
  • Motivation to Learn * Required
  • Initiative * Required
  • Rapport Building Skill * Required
  • Integrity * Required
  • Collaboration * Required
  • Safety * Required
  • Would you recommend this applicant as a child life intern? * Required
  • Please click to submit this form to the Dell Children’s Child Life Education Committee.
  • This field is for validation purposes and should be left unchanged.