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HSS Rehabilitation and Performance Volunteer Interest Survey

Name *This question is required.

Email Address *This question is required.

1. Please describe what kind of experience you are looking for. (Note: we do not have any opportunities in the acute care setting) *This question is required.

2. Would you be interested in projects in a virtual capacity? *This question is required.

3. Are you seeking hours for an application to a clinical graduate program? *This question is required.

If yes, what type of program?

4. Approximately how many total hours are you looking for by the end of the volunteering experience? *This question is required.

5. Are you looking for an inpatient or acute care experience?

6. Are there specific days of the week that you are looking for? Please check all that apply. *This question is required.

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
No Preference
Don't Know Yet

7. Timeframe *This question is required.

Approximate Start Date: Select date in calendar or enter date as (mm/dd/yyyy) *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Approximate End Date: Select date in calendar or enter date as(mm/dd/yyyy) *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Which block would be your preferred time for hours in the clinic? *This question is required.

Morning shift between 7am-11am
Mid day shift between 12pm-4pm
Evening shift between 4pm-8pm
No preference
Other - Write In Please enter an 'other' value for this selection.

8. Please indicate which facilities would be of interest to you: *This question is required.

Manhattan

Orthopedic Physical Therapy Center (535 E 70th St.)
Sports Rehabilitation and Performance Center (525 E 71st St.)
HSS Sports Rehabilitation and Performance West Side (610 West 58th Street)
HSS Midtown Rehabilitation and Performance (770 Lexington Ave)
HSS Hudson Yards Rehabilitation (31 Hudson Yards)
HSS Rehabilitation 75th Street (405 East 75th Street)
Pediatric Rehabilitation & Young Athlete Center (510 East 74th Street)

Additional Locations

HSS Westchester Rehabilitation and Performance (1133 Westchester Avenue White Plains, NY)
HSS Brooklyn Rehabilitation and Performance (148 39th Street, 7th Floor Brooklyn, NY)
HSS Long Island Rehabilitation and Performance (333 Earle Ovington Blvd., Suite 106 Uniondale, NY)