Site Suggeston: Affiliation Agreement
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.

**Instructions are available in the Site Search Resources area of the Field Experience Website.
  • Name
    Title or Position
    (Ask for this detail when you reach out to the site)
  • - -