LHSC High School Co-op Student Application Form (Winter 2026)
Please fill out all fields in the application below. Please note this is only for the Winter Term (February 17th - June 15th, 2026). Please do not apply if your co-op is over the Summer.
Personal Information
Student's Full Name
*
First Name
Last Name
Student's Phone Number
*
Student's E-mail Address
*
example@example.com
School Information
Which high school do you attend?
*
What is your student number/ID?
*
What is your current grade?
*
Grade 10
Grade 11
Grade 12 (or above)
Will your co-op placement be taking place in the morning or afternoon?
*
AM
PM
Name of Co-op Teacher (or head of Co-op Department)
*
First Name
Last Name
Email Address of Co-op Teacher (or head of Co-op Department)
*
example@example.com
Additional Information
Please tell us why you are interested in a co-op placement at LHSC.
*
Please provide details of your educational background (courses, interests) as well as information about any extracurricular activities.
*
Please select the primary placement you would like to be considered for:
*
South West Regional Cancer Program - 1 Opportunity at Victoria Hospital (AM or PM)
Information Technology Learning Services - 1 Opportunity at University Hospital (AM Only)
Non-Invasive Diagnostic Cardiology - 1 Opportunity at University Hospital (AM Only)
Human Resources & Workforce Wellness - 1 Opportunity at University Hospital (AM or PM)
Postpartum Care Unit - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Reception - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Reception - 1 Opportunity at University Hospital (AM or PM)
Medical Imaging - Central Bookings - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Central Bookings - 1 Opportunity at University Hospital (AM or PM)
Medical Imaging - General Radiography - 2 Opportunities at University Hospital (AM or PM)
Medical Imaging - General Radiography - 2 Opportunities at Victoria Hospital (AM or PM)
Health Information Management - 2 Opportunities at Victoria Hospital (AM or PM)
Health Information Management - 2 Opportunities at University Hospital (AM or PM)
Health Information Management - 1 Opportunity at Verspeeten Centre - Victoria Hospital (AM or PM)
Please select your 2nd placement of interest:
*
Please Select
South West Regional Cancer Program - 1 Opportunity at Victoria Hospital (AM or PM)
Information Technology Learning Services - 1 Opportunity at University Hospital (AM Only)
Non-Invasive Diagnostic Cardiology - 1 Opportunity at University Hospital (AM Only)
Human Resources & Workforce Wellness - 1 Opportunity at University Hospital (AM or PM)
Postpartum Care Unit - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Reception - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Reception - 1 Opportunity at University Hospital (AM or PM)
Medical Imaging - Central Bookings - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Central Bookings - 1 Opportunity at University Hospital (AM or PM)
Medical Imaging - General Radiography - 2 Opportunities at University Hospital (AM or PM)
Medical Imaging - General Radiography - 2 Opportunities at Victoria Hospital (AM or PM)
Health Information Management - 2 Opportunities at Victoria Hospital (AM or PM)
Health Information Management - 2 Opportunities at University Hospital (AM or PM)
Health Information Management - 1 Opportunity at Verspeeten Centre - Victoria Hospital (AM or PM)
You will only be considered for this placement if your first choice has already been filled.
Please select your 3rd placement of interest:
*
Please Select
South West Regional Cancer Program - 1 Opportunity at Victoria Hospital (AM or PM)
Information Technology Learning Services - 1 Opportunity at University Hospital (AM Only)
Non-Invasive Diagnostic Cardiology - 1 Opportunity at University Hospital (AM Only)
Human Resources & Workforce Wellness - 1 Opportunity at University Hospital (AM or PM)
Postpartum Care Unit - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Reception - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Reception - 1 Opportunity at University Hospital (AM or PM)
Medical Imaging - Central Bookings - 1 Opportunity at Victoria Hospital (AM or PM)
Medical Imaging - Central Bookings - 1 Opportunity at University Hospital (AM or PM)
Medical Imaging - General Radiography - 2 Opportunities at University Hospital (AM or PM)
Medical Imaging - General Radiography - 2 Opportunities at Victoria Hospital (AM or PM)
Health Information Management - 2 Opportunities at Victoria Hospital (AM or PM)
Health Information Management - 2 Opportunities at University Hospital (AM or PM)
Health Information Management - 1 Opportunity at Verspeeten Centre - Victoria Hospital (AM or PM)
You will only be considered for this placement if your first choice has already been filled.
Please upload a current CV/resume (PDF only) in the box below.
*
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