High School Observation Experience Request

Please note: You will be redirected to a thank you page after you your form submission. If you are not redirected to a thank you page, please make sure you filled out all required fields and try submitting the form again. It may take up to 7 business days for DCMC staff to review and process your submission. If you do not hear back from us within 7 days, please call the Education Coordinator at (920)746-3650 ext. 3324.

First Name:*

Last Name:*

Phone Number:*

Email:*

Request status:*

Initial observation experience request
I have already been approved by DCMC for observation experience

Document #1 upload:

Document #2 upload:

Document #3 upload:

Document #4 upload:

Document #5 upload:

Security code:*

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Documents to Upload

Initial Request

Observation Experience Objectives (PDF)
Observation Request Form (PDF)

Once Approved

DCMC Orientation Handbook (PDF)
Student Confidentiality Agreement (PDF)
Observation Forms (PDF)
Observation Experience Policy (PDF)

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High School Observation Experience Request

Documents to Upload

Initial Request

Once Approved