If there is a site in your area that does not have an Affiliation Agreement in Meditrek, and you have reached out to the site with initial interest in securing a placement there, you can use this form to request that we attempt to establish an Affiliation Agreement. An early request may help increase your chances of placement at a given site and may speed up the process once you apply for Field Experience.
See the Field Experience Manual for information about Field Site Affiliation Agreements.
1. Open the Affiliation Agreement Request Form
2. Research the site on the internet or through networking
3. Contact the site. In this contact, you will want to do the following: