The purpose of this qualitative study was to explore how undergraduate music therapy students perceive, describe, and make meaning from their pre-internship clinical experiences. Using a basic qualitative research approach and marrying arts-based methods with reflexive thematic analysis methods, the following research questions guided my research— How do pre-internship undergraduate music therapy students make meaning from their pre-internship clinical experiences? How do pre-internship undergraduate music therapy students perceive and describe themselves and their pre-professional identity? How do pre-internship undergraduate music therapy students perceive and experience working with clients in a real-world setting? How do pre-internship undergraduate music therapy students perceive and understand the practice and profession of music therapy from their pre-internship clinical experiences?