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.
Format: (000) 000-0000.
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: