This form is to be completed by students applying for academic placement at Hotel Dieu Grace Healthcare.
Completing this form does not guarantee a placement. We will contact you within 2-4 weeks to discuss further. Click on the CONTINUE button at the end of this form to submit your application.
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Student name and email address
Schools in the drop down list below have an Affiliation Agreement with HDGH. If your school is not listed please do not submit a Student Application. Your school coordinator may contact us to begin the Affiliation Agreement application process. The Affiliation Agreement process may take anywhere from 2 - 6 months or more.
Preferred schedule and students availability during placement.
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