Penn Foster Vet Tech Externship Site Pre-Approval Form
Please complete the form if you would like to submit a veterinary hospital for externship pre-approval. Once we receive the request form, we will send the externship site requirements to the person indicated as the site coordinator on the form to complete. PLEASE NOTE: Before submitting this form to Penn Foster, you should have had a discussion with the site and let them know to expect an email from “ELMS by CORE”, which is the externship management system Penn Foster utilizes.
Student Name
*
First Name
Last Name
Student ID
*
Name of Veterinary Hospital
*
Address of Veterinary Hospital
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number for Veterinary Hospital
*
Please enter a valid phone number.
Name of Site Coordinator (The Site Coordinator will have access to the Site's profile in ELMS by CORE to complete the site requirements and forms. The Site Coordinator can be a Hospital Manager, Veterinarian, Technician, or any other administrative person.)
*
First Name
Last Name
Email address of site coordinator
*
example@example.com
Confirm email address of site coordinator
*
example@example.com
Submit
Should be Empty: