LHSC High School Co-op Student Application Form (Summer 2026)
Please fill out all fields in the application below. Please note this is only for students who are enrolled in co-op for the Summer Term (July 2nd to July 29th, 2026). Please do not apply if your co-op is for Fall 2026.
Personal Information
Student's Full Name
*
First Name
Last Name
Student's Phone Number
*
Format: (000) 000-0000.
Student's E-mail Address
*
example@example.com
School Information
Which high school do you attend?
*
What school board does your high school belong to? Please note if your school board is not on this list, you won't be eligible for a co-op at LHSC.
Please Select
Thames Valley District School Board
London District Catholic School Board
Conseil Scolaire Catholique Providence
What is your student number/ID?
*
What is your current grade?
*
Grade 10
Grade 11
Grade 12 (or above)
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:
*
Critical Illness Research - Victoria Research Laboratory - 1 Opportunity at Victoria Hospital
Arrhythmia Device Clinic - 1 Opportunity at University Hospital
Paediatric Medical Day Unit - CALMS - 1 Opportunity at Victoria Hospital
Medicine - Acute Care for the Elderly and Palliative Care Unit - 2 Opportunities at Victoria Hospital
Gastroenterology Admin (GI Associates) - 1 Opportunity at Victoria Hospital
Paediatric Surgery - 2 Opportunities at Victoria Hospital
Medicine - Cardiology - 2 Opportunities at University Hospital
Please select your 2nd placement of interest:
*
Please Select
Critical Illness Research - Victoria Research Laboratory - 1 Opportunity at Victoria Hospital
Arrhythmia Device Clinic - 1 Opportunity at University Hospital
Paediatric Medical Day Unit - CALMS - 1 Opportunity at Victoria Hospital
Medicine - Acute Care for the Elderly and Palliative Care Unit - 2 Opportunities at Victoria Hospital
Gastroenterology Admin (GI Associates) - 1 Opportunity at Victoria Hospital
Paediatric Surgery - 2 Opportunities at Victoria Hospital
Medicine - Cardiology - 2 Opportunities at University Hospital
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
Critical Illness Research - Victoria Research Laboratory - 1 Opportunity at Victoria Hospital
Arrhythmia Device Clinic - 1 Opportunity at University Hospital
Paediatric Medical Day Unit - CALMS - 1 Opportunity at Victoria Hospital
Medicine - Acute Care for the Elderly and Palliative Care Unit - 2 Opportunities at Victoria Hospital
Gastroenterology Admin (GI Associates) - 1 Opportunity at Victoria Hospital
Paediatric Surgery - 2 Opportunities at Victoria Hospital
Medicine - Cardiology - 2 Opportunities at University Hospital
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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