FCHC Demographic Form - NEW

Fairfield Community Health Center (FCHC) is committed to providing competitive educational experiences for students in various health professions at both undergraduate and graduate levels. Preceptorship opportunities are available for medical students, physician assistant students, APRN students, behavioral health students, and medical assistant students. 

The documents provided in the following pages must be downloaded, completed, and uploaded later in the application process. 

Please complete all questions in the following survey. Failure to complete all survey questions may result in loss of your student placement.

Thank you and good luck in your educational pursuits!

Any questions regarding this application should be directed to training@fairfieldchc.org.