Summer 2026 Healthcare Pre-Apprenticeship Interest Form

    Welcome to the Healthcare Pre-Apprenticeship Application Form. This is the first step in the Healthcare Pre-Apprenticeship. By completing this form, we will be able to determine if you meet the eligibility requirements for the Healthcare Pre-Apprenticeship program. If it is determined you are an eligible applicant, you will be invited to meet with a Parkland staff member to complete the Healthcare Pre-apprenticeship application. These appointments are offered on a first-come, first-served basis. If an opening is not currently available, additional eligible applicants will be placed on a waiting list.

     
    Name and Contact Information
    Birthdate
    Birthdate
    Education Information
    What is your highest level of education?
    What is your highest level of education?
    Employment Information
    What is your current employment status?
    What is your current employment status?