To apply directly for a clinical rotation educational opportunity at Marshfield Clinic Division of Education, please follow these steps:
Educational Opportunity Application Form
Health Information Report
Note: Any outstanding health information must be received a minimum of 1 month prior to start of rotation.
Students with Clinicals at MCHS Wisconsin Sites:
Read the Background Check Notice and complete the WI Background Information Disclosure Form.
This form requires a cursive/manual (not electronic) signature, and in order for us to run the background check, we need documentation of your Social Security Number. Marshfield Clinic will review the results and notify the school that the student is approved or denied for participation.
Students with Clinical at MCHS Michigan Sites:
MI Background Check Consent Form.
Note: This form requires a cursive/manual (not electronic) signature, and in order for us to run the background check, we need documentation of your Social Security Number. Marshfield Clinic will review the results and notify the school that the student is approved or denied for participation.
Students with Clinicals at both Wisconsin AND Michigan Sites:
Complete and submit both forms:
WI Background Information Disclosure Form and
MI Background Check Consent Form
Submit your completed Application Form, Health Information Report, Background Information Disclosure Form, and the following documents, to the Division of Education:
- Acknowledgement that you are in good standing at your educational institution
- Proof of professional liability
- Licensure (if applicable)
- Copy of program evaluation form
- Curriculum of expectations
Please submit your application documents as one unit. Applications will not be considered unless the above documents are submitted together.
In order to coordinate the best possible learning experience, Marshfield Clinic Division of Education must receive all requested materials at least 30 business days (approximately six weeks) prior to the start of your requested program experience. If you have been working with a specific Education Program Specialist, please email or fax your application to that person, or you can send the materials to a shared email account:
When required, Marshfield Clinic Division of Education will work with your educational institution to obtain a medical program letter of memorandum or institution contract. This must be submitted electronically in the format supplied by Marshfield Clinic Division of Education. Allow additional time (up to 6 months) if your educational institution does not have a current contract with Marshfield Clinic.
Do not assume an educational request has been approved until you have received confirmation from Marshfield Clinic Division of Education. If you have questions, please
Division of Education program specialist .
NOTE: Unfortunately, we are unable to host requests from offshore/international schools for any student medical rotations or observations at this time.