HEALTH PROFESSIONS STUDENT PLACEMENT/CLINICAL ROTATION/INTERNSHIP REQUEST FORM

Thank you for your interest in obtaining clinical placement at one of CT's FQHCs. We will do our best to honor your request, however, all specialty areas are not offered at all locations. The form below must be filled out completely and submitted with a copy of your CV. CHCACT will review your request and forward to the appropriate FQHCs and they will be in touch with you directly. If you have any questions regarding this form, please contact Dionne Kotey.

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  • This field is for validation purposes and should be left unchanged.