Parkview Education Services  |  High School            Learning Opportunity Request Form
High Schools and their students should use this form to request a semester-long learning experience at Parkview. The information you submit will allow Parkview Health Education Services to match high school students with the best learning experience we can offer through our system of healthcare opportunities.

To request a Job Shadow or Observation, please use this form.

Submitting a request does not guarantee your placement in one of our learning opportunities.
Schools and Students should not contact Parkview departments directly. All placements for learning experiences must be made through Education Services.

Process for a high school semester-long placement at Parkview:
  1. All requests must be submitted by the school.
  2. All requests must be received no later than March 1 for consideration for the next school year. If you are making a request after March 1, please contact one of our high school consultants for consideration: Allen County Schools - Rachel.Wild@parkview.com or Non-Allen County Schools - LaShay.Montana@parkview.com. 
  3. Parkview's Education Services Consultant will work on finding a placement for the student(s) as there are placements available in the student's desired locations.
  4. School/Student will receive confirmation or denial of placement by May 1.
  5. If confirmed, student(s) must return the Attestation Form and the Accepted Student form by July 1st. Failure to provide both completed forms will prevent the student from beginning at requested start date or lose the placement.
Questions?  Contact the appropriate Education Services Consultant listed below. In the subject line, provide the name of your school.
  • Allen County Schools - Rachel.Wild@parkview.com 
  • Non-Allen County Schools - LaShay.Montana@parkview.com
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Your Name (First Name and Last Name) *
Your School       *
Your Email
(Must be a school email address)
 *
Your Phone Number *
What Semester is this placement request for? 
(NOTE: requests are only reviewed and placed in the Spring before the upcoming school year. If you are making this request outside of March-May, please contact the appropriate Coordinator listed in the information above.)
 *
What grade(s) will the student(s) be in during this learning experience? *
If the student is in a CTE or Certificate program, please include the certification type.
What Learning Opportunity(s) are you requesting? *
How many students does this request represent? (Enter "1" if only one student; Enter total # if a class or cohort/group). *
What Department/Unit/Specialty are you requesting placement at in this Facility? (Check all that apply) *
Required
Please provide any additional information that will help us successfully place the student(s). This may include the type of experiences and requirements for these students, a specific preceptor request, or the names of student(s) this request is for.
CLICK SUBMIT TO COMPLETE REQUEST
As a reminder, submitting a request does not guarantee your placement in one of our learning opportunities.

Schools and Students should not contact Parkview departments directly. All placements for learning experiences must be made through Education Services.

Process for a high school semester-long placement at Parkview:
  1. All requests must be submitted by the school.
  2. All requests must be received no later than March 1 for consideration for the next school year. If you are making a request after March 1, please contact one of our high school consultants for consideration: Allen County Schools - Rachel.Wild@parkview.com or Non-Allen County Schools - LaShay.Montana@parkview.com. 
  3. Parkview's Education Services Consultant will work on finding a placement for the student(s) as there are placements available in the student's desired locations.
  4. School/Student will receive confirmation or denial of placement by May 1.
  5. If confirmed, student(s) must return the Attestation Form and the Accepted Student form by July 1st. Failure to provide both completed forms will prevent the student from beginning at requested start date or lose the placement.
Questions?  Contact the appropriate Education Services Consultant listed below. In the subject line, provide the name of your school.
  • Allen County Schools - Rachel.Wild@parkview.com 
  • Non-Allen County Schools - LaShay.Montana@parkview.com
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