Student Resources: Organization Submission Form

Student Resources: Organization Submission Form

We are building an online accessible Resource Guide for high school (or middle school) students to view opportunities to learn about healthcare careers in our region! Use this form to submit any and all of your organization's opportunities; these can include short or long term programs, volunteer or shadowing possibilities, one time experiences, events, workshops or more! Once approved, these opportunities will be uploaded and displayed on The Health Collaborative's Workforce Innovation website, with a clickable link for a student to learn more. For more info, you can contact us at: WorkforceInnovationTeam@healthcollab.org.
Host/Submitting Organization *
Organization Contact *

First Name Last Name
Contact Email *
example@example.com
Contact Phone Number

Area Code Phone Number
County(s) where opportunity is Located *
Opportunities are open to students in which geographic areas? *
Opportunity Name *
Website Link (Please link the direct page you would like us to share.) Please provide the link best suited for more information about the opportunity you provided a description. *
Opportunity Name - Number Two
Website Link - Number Two
Opportunity Name - Number Three
Website Link - Number Three
Please share a thorough description of the opportunity to which students can apply. Include details you feel would entice a student (or parent/teacher) to click your link to get more information. It is important to include details such as: dates of opportunity, registration deadlines (if applicable), age/grade the opportunity is open to, anything else you find immediately relevant. Include relevant contact info if there is no website. *
Additional Opportunity - Number Two (if applicable)
Additional Opportunity - Number Three (if applicable)
Date Submitted *

Month Day Year
Please verify that you are human *
Should be Empty: