School Engagement Request Form

OhioHealth School Engagement Request Guidelines

OhioHealth is deeply invested in our community and interested in growing the number of young adults interested in healthcare careers. OhioHealth evaluates all school engagement requests on a set of criteria such as:

Schools that we have existing affiliation agreements with
Schools located in communities where OhioHealth is directly located and serves
Offers the opportunity to educate key audiences – especially those that are highly interested in healthcare careers
Provides a clear value to both OhioHealth and the school
Timing – ideally, requests are submitted within 60- days prior to request date in order to identify staff and materials to support your request

Step 1: Complete School Information

School Information:

School Name*

School Grade Levels*

School Address*

School Address 2

City*

State*

Zip Code*

Step 2: Complete Requestor Information

Requestor Information:

Name*

Job Title*

Email Address*

Phone Number*

School Contact:

Same as requestor

New Contact (enter below)

School Contact:

Name

Job Title

Email Address

Phone Number

Step 3: Request Information

My school is interested in: (select all that apply)

Student Observation: < 10 hours total – (must be at least 14 years of age)

Shadowing/Mentoring: > 10 hours total (requires an OhioHealth Affiliation Agreement, must be 16 years of age)

Career/Education Fair Event

Class Speaker - (Virtual)

Class Speaker - (In-Person)

Job Fair

Other

Upload a File

Additional Information about your organization, parking, event flyer (if you have more than 1 file to send us, please compress them as a .zip file)

Once you submit your request, a School partnership representative will contact you in 5-7 business days. Thank you!