Internship Opportunities for Leisure Studies Therapeutic Recreation Internship (169:191) *ARIZONA City of Tucson, Parks & Recreation, Northwest District Agency Supervisor: Beth Lucas Address: 900 S Randolph Wy, Tucson, AZ 85716 Phone: 520-791-4504 Fax: 520-791-3125 Affiliation Agreement: New, 04/05

Mayo Clinic Scottsdale Agency Supervisor: Carol Graziano, Patty Fantauzzo Address: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8370 (Carol) or 480-301-8370 (Patty) E-mail: [email protected] Affiliation Agreement: New, 07/05

Virginia G. Piper Sports and Fitness Center Agency Supervisor: Jessica Amato, CTRS, Volunteer and Intern Coordinator Address: 5031 E. Washington St., Phoenix, AZ 85034 Phone: 602/386-4285 E-mail: [email protected] Affiliation Agreement: New, 2/12

*CALIFORNIA County of Sacramento, Department of Regional Parks Agency Supervisor: Jenn Wilson, RTC, CTRS Address: PO Box 292640, Sacramento, CA 95829 Phone: 915/381-0247 Fax: 916/381-0209 E-mail: [email protected] Affiliation Agreement: New Agreement, 11/09

Lucille Packard Children’s Hospital Agency Supervisor: Colette Case, MS, CCLS, CTRS, Director Child & Family Life Services Address: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8295 Fax: 650-498-2455 E-mail: [email protected] Affiliation Agreement: New Agreement, 08/11

UCLA, Stewart & Lynda Resnick Neuropsychiatric Hospital (NPH) Agency Supervisor: Linda Florey, Ph.D., OTR, Chief, Rehabilitation Services Address: 760 Westwood Plz, Room B7-436, Los Angeles, CA 90095 Phone: N/A E-mail: N/A Affiliation Agreement: New Agreement, 05/07

*COLORADO Adaptive Sports Center Agency Supervisor: Beth Walker (Summer), Chris Read (Winter) Address: PO Box 1639, Crested Butte, CO 81224 Phone: 970-349-5075 (Beth), 866-349-2296 or 970-349-2296 (Chris) Affiliation Agreement: New Agreement, 02/06

Breckenridge Outdoor Education Center Agency Supervisor: Erin Baird, CTRS Address: PO Box 697, Breckenridge, CO 80424 Phone: 970-453-0146 Fax: 970-453-3845 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 01/09

The Children's Hospital (Dual Certification Site) Agency Supervisor: Kathleen Reeves Address: 1056 E 19th Ave, Denver, CO 80218 Phone: 303-861-6979 Affiliation Agreement: New Agreement, 01/06

City of Boulder Parks and Recreation Department Agency Supervisor: Ken Silva, CTRS, Community Outreach, Marketing, and Internship Management Address: 3198 N Broadway, Boulder, CO 80304 Phone: 303-413-7216 Fax: 303-413-7201 Affiliation Agreement: New Agreement, 11/08

City of Fort Collins, Recreation Division Agency Supervisor: Renee Lee, CTRS Address: 214 N Howes, Fort Collins, CO 80521 Phone: 970-224-6027 Fax: 970-416-2100 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 02/07

Craig Hospital Agency Supervisor: Lori Womeldorff (2/9/05) or Clair Cahow (2/9/05) Address: 3425 S Clarkson St, Englewood, CO 80113 Phone: 303-789-8583 or 303-789-8341 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 10/10

National Sports Center for the Disabled Agency Supervisor: S. Bryan Wood, CTRS Address: PO Box 682, Winter Park, CO 80482 Phone: 970-726-1542 Fax: 303-316-1542 E-mail: [email protected] Affiliation Agreement: New Agreement, 05/08

Out & About (Division of Imagine!) Agency Supervisor: Jennifer Boles, CTRS Address: 1400 Dixon Ave, Lafayette, CO 80026 Phone: 303-962-6489 E-mail: [email protected] Affiliation Agreement: New Agreement, 05/08

*FLORIDA Halifax Health System Agency Supervisor: Kelly Courington, CTRS Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386/254-4080 Fax: 386/947-1764 E-mail: [email protected] Affiliation Agreement: New Agreement, 01/10

Joe DiMaggio Children's Hospital Agency Supervisor: Address: Child Life, 1000 Joe DiMaggio Drive, Hollywood, FL 33021 Phone: 954-987-2020 Fax: 954-967-2518 Affiliation Agreement: New Agreement, 01/05

Northeast Florida State Hospital Agency Supervisor: Lisa Kay Cox, CTRS, Director of Internship Program Address: 7487 S. State Rd 121, Macclenny, FL 32114 Phone: (904) 259-6211 x 1407 E-mail: [email protected] Affiliation Agreement: New Agreement, 5/12

*GEORGIA Inner Harbour Agency Supervisor: Sarah Punschon Address: 4685 Dorsett Shoals Rd, Douglasville, GA 30135 Phone: N/A E-mail: N/A Affiliation Agreement: Renewal Agreement, 05/04

Piedmont Healthcare, Inc. - Center for Rehabilitation Medicine Agency Supervisor: Dayle Gordon, MS, CTRS, HT Address: 1968 Peachtree Rd NW, Atlanta, GA 30316 Phone: 404-605-2033 E-mail: [email protected] Affiliation Agreement: New Agreement, 03/09

*HAWAII Aloha Nursing & Rehab Centre Agency Supervisor: Melissa Applegate, CTRS Address: 45-545 Kamehameha Hwy, Kaneohe, HI 96744 Phone: 808-247-2220 Ext. 568 Affiliation Agreement: New Agreement, 12/05

*IDAHO Sun Valley Adaptive Sports Agency Supervisor: Shauna Smith, CTRS Address: PO Box 6791, Ketchum, ID 83340 Phone: 208-726-9298, ext. 116 Fax: 208-726-0957 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 03/09 *ILLINOIS Advocate Lutheran General Hospital Agency Supervisor: Bruce Campbell Address: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 Affiliation Agreement: New Agreement, 06/03

Advocate Christ Medical Center Agency Supervisor: Lisa Boland, Child Life Coordinator Address: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708/684-4188 Fax: 319-364-0040 E-mail: [email protected] Affiliation Agreement: New Agreement, 02/10

Champaign-Urbana Special Recreation Agency Supervisor: Dawn Schaefer, CTRS, Director Address: 1311 W Church St, Champaign, IL 61821 Phone: 217/239-1152 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/10

Children's Memorial Medical Center Agency Supervisor: Katie Sliwa, CTRS, CADC Address: 2300 Children's Plaza, PO Box 10, Chicago, IL 60614-3394 Phone: 773-880-8244 Fax: 773-868-8947 E-mail: [email protected] Affiliation Agreement: New Agreement, 05/07

Elgin Mental Health Center Agency Supervisor: Catherine Johnson (7/7/04) Address: 750 S State St, Elgin, IL 60123 Phone: N/A E-mail: N/A Affiliation Agreement: New Agreement, 08/04

Evanston Hospital, North Shore University Health System Agency Supervisor: Robert Miller, CTRS Address: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847/570-2845 E-mail: [email protected] Affiliation Agreement: 05/11

Fox Valley Special Recreation Association Agency Supervisor: Carolyn Nagle, MPA, CTRS, CPRP Address: 2121 W Indian Trl, Aurora, IL 60506 Phone: 630-907-1114 Affiliation Agreement: New Agreement, 02/06 Heart of Illinois Special Recreation Association Agency Supervisor: Sarah Turner Address: 8727 N Pioneer Rd, Peoria, IL 61614 Phone: N/A E-mail: N/A Affiliation Agreement: New Agreement, 05/04

Highland Park Hospital Agency Supervisor: Paula Magura, CTRS Address: 777 Park Ave W, Highland Park, IL 60035 Phone: 847/480-3708 Fax: 847/480-2714 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/10

Jewish Council for Youth Services Agency Supervisor: Ashley Wilson Address: PO Box 297, 26710 W Nippersink Rd, Ingleside, IL 60041 Phone: N/A E-mail: N/A Affiliation Agreement: New Agreement, 12/03

Lawrence Hall Youth Agency Supervisor: Jocelyn Howard Address: 4833 N Francisco Ave, Chicago, IL 60625 Phone: 773-769-3500 Affiliation Agreement: New Agreement, 04/05

Lincolnway Special Recreation Association Agency Supervisor: Nancy Martello, CTRS Address: PO Box 547, 325 S LaGrange, Frankfort, IL 60423 Phone: 815-464-2811 Affiliation Agreement: New Agreement, 04/06 Marianjoy Rehabilitation Hospital & Clinics, Inc. Agency Supervisor: Tracy Ekstrom, CTRS Address: 26W171 Roosevelt Rd, Wheaton, IL 60187 Phone: 630/909/6010 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 5/12

Marklund at Mill Creek Agency Supervisor: Wesley J. Kochan, CTRS Address: 1 S 450 Wyatt Dr, Geneva, IL 60134 Phone: 630/593-5498 Fax: 630/593-5501 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/09

North Lake County Agency Supervisor: Julie Martin Address: Waukegan Office, 2000 Belvidere St, Waukegan, IL 60085 Phone: 847-360-4760 Affiliation Agreement: New Agreement, 02/05

Northeast DuPage Special Recreation Association Agency Supervisor: Jerry Barton, CTRS Address: 1770 W Centennial Pl, Addison, IL 60601 Phone: 630-620-4500 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 11/08

Northern Illinois Special Recreation Association Agency Supervisor: Heidi Jenkins, MA, CTRS, Manager of Mental Health and Outreach Services Address: 820 E Terra Cotta Ave, Ste 125, Crystal Lake, IL 60014 Phone: 815-459-0737 Fax: 815-459-0388 E-mail: [email protected] Affiliation Agreement: Renewal agreement 10/08

Northern Suburban Special Recreation Association Agency Supervisor: Mel Robson, CTRS, Superintendent of Recreation Address: 3105 MacArthur Blvd, Northbrook, IL 60062 Phone: 847-509-9400 x 29 Fax: 847-509-1177 E-mail: [email protected] Affiliation Agreement: New Agreement, 03/06

Northwest Special Recreation Association Agency Supervisor: Jayne Finger, CTRS, Superintendent of Recreation Address: 3000 W Central Rd, Ste 205, Rolling Meadows, IL 60008 Phone: 847-392-2848 Fax: 847-392-2870 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 3/12

Rehabilitation Institute of Chicago Sports Agency Supervisor: Barbra Aronowski Address: 710 N Lake Shore Dr, 3rd Fl, Chicago, IL 60611 Phone: 312-238-5011 Affiliation Agreement: New Agreement, 05/06

The Rehabilitation Institute of Chicago Agency Supervisor: Jillian Beemer Address: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-3979 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 04/10

Rockford Park District Agency Supervisor: Brenda Parrish Address: 401 S Main St, Ste 108, Rockford, IL 61107-1321 Phone: 815-987-1601 Affiliation Agreement: New Agreement, 03/06

Schwab Rehabilitation Hospital Agency Supervisor: Kris Balfanz-Vertiz, Director Address: 1401 S California Blvd, Chicago, IL 60608 Phone: 773/522-5869 Fax: 773/522-6650 E-mail: [email protected] Affiliation Agreement: New Agreement, 11/09

Shriners Hospitals for Children Agency Supervisor: Anna Christison, CTRS Address: 2211 N Oak Park Ave, Chicago, IL 60707 Phone: 773-385-5515 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 10/08

South East Association for Special Parks and Recreation (SEASPAR) Agency Supervisor: Anne Cosentino, CTRS, CPRP Address: 4500 Belmont, Downers Grove, IL 60515 Phone: 630-960-7600 E-mail: [email protected] Affiliation Agreement: New Agreement, 4/12

South Suburban Special Recreation Association Agency Supervisor: Carrie Trapp, MA, CTRS Address: 19910 80th Ave, Tinley Park, IL 60487 Phone: 815-806-0384, ext. 17 Fax: 815-806-0390 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 05/11

Special Recreation Services of Northern Lake County - Waukegan Agency Supervisor: Julie Martin Address: 2000 Belvidere St, Waukegan, IL 60085 Phone: 847-360-4760 Fax: 847-662-2577 Affiliation Agreement: New Agreement, 02/05

Trinity Regional Health System Agency Supervisor: Hillary Milo Address: 2701 17th St, Rock Island, IL 61201 Phone: 309/779-3142 Fax: 309/779-3141 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 01/11

Warren Special Recreation Association Agency Supervisor: Susan Markey Address: 17801 W Washington St, Gurnee, IL 60031 Phone: 847-244-6619 Affiliation Agreement: New Agreement, 02/05

West Suburban Special Recreation Association Agency Supervisor: Gretchen Dennis, CTRS Address: 2915 Maple St, Franklin Park, IL 60131 Phone: 847-455-2100 Fax: 847-455-3157 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 03/07

*IOWA Camp Courageous of Iowa Agency Supervisor: Shannon Poe, CTRS, Respite Care/Volunteer Director Address: PO Box 418, Monticello, IA 52310 Phone: 319-465-5916 ext. 2320 E-mail: [email protected] Affiliation Agreement: New Agreement, 02/07

Cedar Falls Lutheran Home Agency Supervisor: Sandy Shankle (5/6/04) Address: 7511 University Ave, Cedar Falls, IA 50613 Phone: N/A E-mail: N/A Affiliation Agreement: New Agreement, 05/04

Cedar Rapids Recreation Department Agency Supervisor: Rob Wagner (2/9/05) Address: 2000 Mt Vernon Rd SE, Cedar Rapids, IA 52403 Phone: 319-286-5799 Fax: 319-398-0435 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 02/11

Cedar Rapids Recreation Department Drop In Program Agency Supervisor: Michelle Rhoades Address: 2000 Mt Vernon Rd SE, Cedar Rapids, IA 52403 Phone: 319-286-5738 Fax: 319-286-5732 E-mail: [email protected] Affiliation Agreement: New, 02/11

Chatham Oaks Agency Supervisor: Sean Bucheit, Recreation Director Address: 4515 Melrose Ave, Iowa City, IA 52246 Phone: 319-887-2701 Fax: 319-887-9154 E-mail: [email protected] Affiliation Agreement: New, 03/07

ChildServe Habilitation Center Agency Supervisor: Jeff Dirks, CTRS Address: PO Box 707, Johnston, IA 50131 Phone: 515-270-2205 E-mail: [email protected] Affiliation Agreement: Renewal, 01/09

Covenant Medical Center Agency Supervisor: Beth Poster Address: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-7905 Affiliation Agreement: Renewal, 03/05

Ellen Kennedy Living Center (affiliated with Mercy Medical Center, Dubuque) Agency Supervisor: Lili Peterson, CTRS, Lifestyle Coordinator Address: 1177 7th St SW, Dyersville, IA 52040 Phone: 563-875-6323 Ext. 101 Fax: 563-875-6268 E-mail: [email protected] Affiliation Agreement: New, 10/08

Four Oaks, Inc. Agency Supervisor: Shelley Neyen, CTRS Address: 5400 Kirkwood Blvd SW, Cedar Rapids, IA 52404 Phone: 319-364-0259, ext. 2048 E-mail: [email protected] Affiliation Agreement: Renewal, 4/12

Genesis Medical Center Agency Supervisor: Kelly Sigler, CTRS Address: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563/421-2915 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 01/11

Halcyon House Agency Supervisor: Mary Geil, CTRS Address: 1015 S Iowa Ave, Washington, IA 52353 Phone: 319-653-8317 E-mail: [email protected] Affiliation Agreement: New Agreement, 02/12

Iowa City Parks and Recreation Agency Supervisor: Cindy Coffin Address: 220 S Gilbert St, Iowa City, IA 52240 Phone: 319-356-5100 Fax: 319-356-5487 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 12/10

Iowa City Rehab and Health Care Center Agency Supervisor: Jamie Bagan Address: 3661 Rochester Ave, Iowa City, IA 52245 Phone: 319-351-7460 Fax: 319-354-3428 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/06

Iowa Health - Des Moines Agency Supervisor: Pat Junod Address: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-6741 Fax: 515-241-5203 E-mail: [email protected] Affiliation Agreement: New Agreement, 09/06

Link Associates Agency Supervisor: Cristy Jennings, CTRS, Assistant Outreach Director Address: 4301 NE 14th St, Des Moines, IA 50313 Phone: 515-262-8888 ext. 341 Fax: 515-262-8655 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 11/08

ManorCare Utica Ridge Agency Supervisor: LuAnn Klein, CTRS Address: 3800 Commerce Blvd, Davenport, IA 52807 Phone: 563/344-2038 Fax: 319/344-9220 E-mail: [email protected] Affiliation Agreement: New Agreement, 02/10

MeadowView & RidgeView (The Views) Memory Care Village Agency Supervisor: Address: 3005 F Ave NW, Cedar Rapids, IA 52405 Phone: 319-294-9669 Fax: 319-390-8080 E-mail: Affiliation Agreement: Renewal Agreement, 04/09

Mental Health Institute Address: 1200 E Washington St, Mt. Pleasant, IA 52621 Phone: 319-385-6672 Fax: 319-385-8465 Affiliation Agreement: New Agreement, 11/06

Mercy Medical Center Agency Supervisor: Ellie Koester Address: 1000 4th St SW, Mason City, IA 50401 Phone: (641)-422-7752 Affiliation Agreement: Renewal Agreement, 09/09

Mercy Medical Center Agency Supervisor: Stacey Bennett, CTRS Address: 701 10th St SE, Cedar Rapids, IA 52403 Phone: 319-398-6621 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/12

Meth-Wick Community Agency Supervisor: Eryn Cronbaugh, CTRS Address: 1224 13th St, Cedar Rapids, IA 52405 Phone: 319-363-2402, ext. 620 Fax: 319-363-5033 E-mail: [email protected] Affiliation Agreement: Renewal agreement, 02/10

Oaknoll Retirement Residence Agency Supervisor: Lindsey Payton, CTRS Address: 701 Oaknoll Dr, Iowa City, IA 52246 Phone: 319-466-3050 Fax: 319-351-6772 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 12/10

On With Life - Ankeny Rehabilitation Center Agency Supervisor: Kim Reed, CTRS Address: 715 SW Ankeny Rd, Ankeny, IA 50021 Phone: 515-965-1339 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 10/08

Orchard Place Agency Supervisor: Amy Payne-Johnson Address: 925 SW Porter Ave, PO Box 35425, Des Moines, IA 50315 Phone: 515-287-9657 Fax: 515-287-9695 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 01/12

Pathways Adult Day Health Center Agency Supervisor: Jeff Kellbach (2/9/05) Address: 817 Pepperwood Ln, Iowa City, IA 52240 Phone: 319-339-6162 Fax: 319-339-6164 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 01/08

SportAbility of Iowa Agency Supervisor: Sherri Hildebrand, CTRS Address: 1584 Parview Ct NE, Solon, IA 52333 Phone: 319/855-8916 Fax: 866/672-9889 E-mail: [email protected] Affiliation Agreement: New Agreement, 05/11

St. Luke's Hospital Agency Supervisor: Anne Smith Address: 1026 A Ave NE, (2 East), Cedar Rapids, IA 52402 Phone: 319-369-7541 E-mail: [email protected] Affiliation Agreement: New Agreement, 11/10

Tanager Place Agency Supervisor: Address: 2309 C St SW, Cedar Rapids, IA 52404 Phone: 319-366-5890 Affiliation Agreement: Renewal Agreement, 06/03

University of Iowa Hospitals & Clinics – Rehabilitative Therapies Agency Supervisor: Diane Denneny, Administrative Services Specialist Address: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1104 Email: [email protected] Affiliation Agreement:

VA Central Iowa Health Care System (Des Moines) Agency Supervisor: Becky Thompson, CTRS Address: 3600 30th St, Des Moines, IA 50310 Phone: 515/699-5999 ext. 4300 E-mail: [email protected] Affiliation Agreement: New Agreement, 07/11

VA Central Iowa Health Care System (Knoxville) Agency Supervisor: Becky Thompson, CTRS Address: 1555 W Pleasant St, Knoxville, IA 50138 Phone: 641-828-5025 E-mail: [email protected] Affiliation Agreement: New Agreement, 01/07

Washington County Hospital and Clinics Agency Supervisor: Barb Cutkomp, Director of Social Services Address: PO Box 909, Washington, IA 52354 Phone: 319-653-5481 Affiliation Agreement: Renewal Agreement, 03/07

Wesley Acres Agency Supervisor: Heather Wheeler, CTRS, Resident Life Coordinator Address: 3520 Grand Ave, Des Moines, IA 50312 Phone: 515-271-6623 Fax: 515-271-6600 E-mail: [email protected] Affiliation Agreement: New Agreement, 05/12

Western Home Agency Supervisor: Judy Staff Address: 420 E 11th St, Cedar Falls, IA 50613 Phone: 319-277-2141 Affiliation Agreement: New Agreement, 03/05

*MARYLAND Healthsouth Chesapeake Rehab Hospital Agency Supervisor: Tonya Vilov, TR Manager Address: 220 Tilghman Rd, Salisbury, MD 21804 Phone: 410/546-4600 Fax: 410/219-5588 or 410/546-8388 E-mail: [email protected] Affiliation Agreement: New Agreement, 02/11

The League at Camp Greentop Agency Supervisor: Kathy Blumke Address: 111 E Cold Spring Ln, Baltimore, MD 21239 Phone: 410-323-0500, ext. 309 Fax: 410-323-3298 E-mail: [email protected] Affiliation Agreement: New Agreement, 03/07

National Institutes of Health Agency Supervisor: Marcia Smith, MA, CTRS, H/FS, Clinical Coordinator/Internship Coordinator Address: 10 Center Dr, Room 1-1469, MSC 1604, Bethesda, MD 20892 Phone: 301/496-8876 Fax: 301/480-0669 E-mail: [email protected] Affiliation Agreement: New Agreement, 03/10

*MASSACHUSETTS Spaulding Rehabilitation Hospital Agency Supervisor: Sara H. Cruz (2/9/05) Address: 120 Nashua St, Boston, MA 02114 Phone: 617-573-2906 E-mail: [email protected] Affiliation Agreement: New Agreement, 11/04

*MINNESOTA Abbott Northwestern Hospital (Allina Health System) Agency Supervisors: Jan Roux, CTRS and Cindy Berlovitz, CTRS Address: 800 E. 28th Street, Minneapolis, MN 55407-3799 Phone: E-mail: [email protected] and [email protected] Affiliation Agreement: New Agreement, 04/10

Albert Lea Good Samaritan Center Agency Supervisor: Theresa Thorland (4/5/04) Address: 75507 240th St, Albert Lea, MN 56007 Phone: 507-373-0683 Affiliation Agreement: New Agreement, 02/04

City of Edina, Parks & Recreation Agency Supervisor: Susie Miller, CTRS Address: 4801 W 50th, Edina, MN 55424 Phone: 952-826-0433 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/05

Courage Center Agency Supervisor: Tom LaMere, MS, CTRS Address: 3915 Golden Valley Rd, Minneapolis, MN 55422 Phone: 763-520-0245 Fax: 763-520-0388 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/07 Dakota Communities Agency Supervisor: Antonia Boelter Address: 1668 Diane Rd, Mendota Heights, MN 55118 Phone: 651-686-7872 Fax: 651-686-6572 E-mail: [email protected] Affiliation Agreement: New Agreement, 11/05

Mayo Clinic Center Coordinator of Clinical Education: Heidi Dunfee PT, DScPT Physical Medicine and Rehabilitation Address: 200 First Street SW, Rochester, MN 55905 Phone: 507-255-7949 Fax: 507-284-3431 E-mail: [email protected] Affiliation Agreement: New Agreement, 07/12

Shriners Hospitals for Children - Minneapolis, MN Agency Supervisor: Maureen Johnston, CTRS Address: 2205 E River Pkwy, Minneapolis, MN 55414 Phone: 612-586-6135 Fax: 612-339-5954 E-mail: [email protected] Affiliation Agreement: New Agreement, 03/09

Veterans Affairs Medical Center Agency Supervisor: Katy Ryan Address: 135R, One Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3958 Fax: 612-727-5643 E-mail: [email protected] Affiliation Agreement: New Agreement, 02/06

*MISSOURI Cox Health Agency Supervisor: Rhonda Shrewsbury, CTRS Address: 1423 N Jefferson, Springfield, MO 65802 Phone: 314-830-6104 Fax: 417-269-1585 Email: [email protected] Affiliation Agreement: Renewal Agreement, 05/12 Crittenton Children’s Center Agency Supervisor: Michelle Gros, CTRS Address: 10918 Elm Avenue, Kansas City, MO 64134 Phone: E-mail: [email protected] Affiliation Agreement: New Agreement, 01/12

Marygrove Agency Supervisor: Andria Bane, CTRS Address: 2705 Mullanphy Ln, Florissant, MO 63031 Phone: 314-830-6104 Affiliation Agreement: New Agreement, 04/06

Ranken Jordan – A Pediatric Speciality Hospital Agency Supervisor: Kathleen Sachs, CTRS Address: 11365 Dorsett Rd, Maryland Heights, MO 63043 Phone: 314/872-6422 E-mail: [email protected] Affiliation Agreement: New Agreement, 04/11

The Rehabilitation Institute of Kansas City Agency Supervisor: Corey Wright, CTRS Address: 3011 Baltimore, Kansas City, MO 64108 Phone: 816-761-7900 Fax: 816-751-7982 E-mail: [email protected] Affiliation Agreement: New Agreement, 12/07

Shriners Hospital for Children Agency Supervisor: Kerry Zekert, CTRS, Internship Coordinator Address: 2001 S Lindbergh Blvd, St. Louis, MO 63131 Phone: 314-432-3600 x1155 Affiliation Agreement:

*NEBRASKA Alegent Health Agency Supervisor: Christy Al-Nemah, M.S., CTRS Address: Psychiatric Associates, 7101 Newport Ave, Omaha, NE 68152 Phone: 402-572-3248 Fax: 402-572-2528 E-mail: [email protected] Affiliation Agreement: Renewal Agreement, 01/09

Lincoln Regional Center Agency Supervisor: Rose Hanzlicek Address: PO Box 94949, Lincoln, NE 68509 Phone: 402-479-5410 Affiliation Agreement: New Agreement, 06/05

Madonna Rehabilitation Hospital Agency Supervisor: Linda Ohnoutka Address: 5401 South St, Lincoln, NE 68506-2134 Phone: 402-483-9554 or 800-676-5448 Fax: 402-483-9494 Affiliation Agreement: New Agreement, 07/05

*NEVADA Henderson Parks & Recreation Agency Supervisor: Andrea Edwards Address: 240 Water St, PO Box 95050, Henderson, NV 89009-5050 Phone: 702-267-4006 E-mail: [email protected] Affiliation Agreement: New Agreement, 06/05

*NEW JERSEY Matheny Medical and Educational Center Agency Supervisor: Sean Bielefeldt, CTRS Address: PO Box 339, 65 Highland Ave, Peapack, NJ 07977 Phone: 908/234-0011, x262 Fax: 908/719-2137 Affiliation Agreement: 12/08

Weisman Children's Rehabilitation Hospital in Marlton (Dual Certification Program) Agency Supervisor: Erica Sciolla, CTRS, CCLS Address: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-489-4520, outside of area 877-543-8774 Affiliation Agreement: New Agreement, 12/05

*NORTH CAROLINA Carolinas Rehabilitation Agency Supervisor: Jennifer Moore, LRT/CTRS Coordinator, Recreation Therapy/Adaptive Sports & Adventures Program Address: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-1064 Email: [email protected] Affiliation Agreement: New Agreement, 07/11

University of North Carolina Hospitals Agency Supervisor: Laurie Reddick, MA, LTS/CTRS, CCLS Address: 101 Manning Dr, Chapel Hill, NC 27514 Phone: 919-966-2301 Fax: 919-843-0032 Website: http://unchealthcare.org/site/rectherapy/index_html Affiliation Agreement: New Agreement, 02/09

*OREGON Portland Parks & Recreation Agency Supervisor: Debbie Timmins, CTRS, Program Director Address: 426 NE 12th Ave, Portland, OR 97232 Phone: 503-823-4328 Fax: 503-823-4329 E-mail: [email protected] Affiliation Agreement: New Agreement, 01/07

*SOUTH CAROLINA Medical University of South Carolina, Institute of Psychiatry Agency Supervisor: Bob Raynor, CTRS Address: 67 President St, Charleston, SC 29403 Phone: 843/792-0083 Fax: 843/792-5582 E-mail: [email protected] Affiliation Agreement: 04/11

*TENNESSEE City of Chattanooga Parks & Recreation Agency Supervisor: Susan Crisp Address: 1254 E 3rd St, Chattanooga, TN 37404 Phone: 423-697-1354 Affiliation Agreement: New Agreement, 03/05

*TEXAS Michael E. DeBakey Veterans Affairs Medical Center Agency Supervisor: Elizabeth Nealy, CTRS Address: 2002 Holcombe Blvd, Houston, TX 77030 Phone: 713-791-1414 ext. 3919 Fax: 713-794-8923 E-mail: [email protected] Affiliation Agreement: New Agreement, 08/05

NeuroRestorative Specialty Services Agency Supervisor: Jeremy Stoval Address: 11937 US Hwy 271, Tyler, TX 75708 Phone: 903-877-8702 Affiliation Agreement: New Agreement, 05/05

Remington Medical Resort Agency Supervisor: Amy Devoe, MS, CTRS Address: 1350 E Lookout Dr, Richardson, TX 75082 Phone: 972/220-2000 E-mail: [email protected] Affiliation Agreement: New Agreement, 01/10

University Behavioral Health Agency Supervisor: Harry Boswell, MA, CTRS, CET Address: 2026 University Dr, Denton, TX 76201 Phone: 940-320-8156 Fax: 940-384-0307 E-mail: [email protected] Website: www.ubhdenton.com Affiliation Agreement: New Agreement, 11/06

*UTAH Kostopulos Dream Foundation Agency Supervisor: Jared Allsop, TRS/CTRS, Program Director & Internship Supervisor Address: 4180 Emigration Canyon, Salt Lake City, UT 84108 Phone: 801-582-0700 ext. 100 Fax: 801-583-5176 E-mail: [email protected] Affiliation Agreement: New Agreement, 12/11

National Ability Center in Utah Agency Supervisor: Meeche White Address: PO Box 682799, Park City, UT 84068 Phone: 435-649-3991, Ext. 601 Affiliation Agreement: New Agreement, 02/06

*VERMONT Vermont Adaptive Ski and Sports Agency Supervisor: Erin Fernandez Address: PO Box 139, Killington, VT 05751 Phone: 802-786-4991 E-mail: [email protected] Affiliation Agreement: New Agreement, 08/05

*VIRGINIA Lake Taylor Transitional Care Hospital Agency Supervisor: Carrie Puglisi Address: 1309 Kempsville Rd, Norfolk, VA 23502 Phone: 757-461-5001 Ext. 350 Affiliation Agreement: New Agreement, 04/06

*WASHINGTON Outdoors for All Foundation Agency Supervisor: Elizabeth Scriven, CTRS Address: 2 Nickerson St, Ste 101, Seattle, WA 98109-1652 Phone: 206/838-6030 ext. 209 Fax: 206/838-6035 E-mail: [email protected] Affiliation Agreement: New Agreement, 03/09

University of Washington Medical Center Agency Supervisor: Barbara Beach Address: Department of Rehabilitation Medicine, PO Box 356490, 1959 NE Pacific St, Seattle, WA 98195 Phone: 206-598-4485 E-mail: [email protected] Affiliation Agreement: New Agreement, 05/03

*WASHINGTON D.C. National Rehabilitation Hospital Agency Supervisor: Joan Joyce Address: 102 Irving St NW, Washington, DC 20010-2949 Phone: N/A E-mail: N/A Affiliation Agreement: New Agreement, 05/04

*WISCONSIN Froedtert Hospital Agency Supervisor: Margaret Goldbach, BS, CTRS, CCLS, CEIM Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: (414) 805-3000 E-mail: [email protected] Affiliation Agreement: New Agreement, 06/08

Saint Joseph’s Children’s Hospital - Ministry Health Care, Inc. Agency Supervisor: Heidi Giese, BS, CCLS, CTRS, CIMI, Child Life Manager Address: 611 St. Joseph Ave, Marshfield, WI 54449 Phone: 715/387-7361 Fax: 715/3879-3993 E-mail: [email protected] Affiliation Agreement: New, 08/10

*WYOMING Cheyenne VA Medical Center Agency Supervisor: Kristi Ruben, CTRS, ATRIC Address: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 Fax: 307-778-7531 E-mail: [email protected] Affiliation Agreement: New Agreement, 02/07

Wyoming State Hospital Agency Supervisor: Kathy Argyle, CTRS Address: PO Box 177, Evanston, WY 82931-0177 Phone: 307-789-3464, ext. 468 Fax: 307-789-4592 E-mail: [email protected] Affiliation Agreement: New Agreement, 06/07