Student Clinical Experience | St. Peter’s Health

Pharmacy Practice Residency

To apply for the Post Graduate Year 1 Pharmacy Practice Residency, click here.

Student Clinical Experience Application

Thank you for your interest in a clinical experience at St. Peter’s Health. All students are required to go through an application process. Please note that specialty placement is based on availability.

After you have completed and submitted the application, you will receive a response within five business days that outlines the student requirements. Examples of additional documents which may be required include, but are not limited to, the following:

Evidence of a criminal background check
Proof of immunizations
Evidence of liability insurance
A letter of good standing from your school

All requested documents must be submitted at least three weeks prior to your intended start date.

High School Students: We unfortunately are not accepting high school students at this time. Helena High School and Capital High School students are encouraged to contact their school about the Medical Careers Program.

Freshman and Sophomore University/College Students: We unfortunately are not accepting freshman or sophomore students at this time.

First Name

Middle

Last Name

Phone

Address

Address 2

City/Town

State

ZIP/Postal Code

School currently attending

Requested start date for shadowing/clinical

Requested end date

Are you currently or have you ever been employed at St. Peter’s Health

Yes

Have you been a student at St. Peter’s Health before

Yes

If yes, provide dates

My student status is

"Other" students, please describe your situation

If you are an undergraduate student, please describe the degree or certification you are currently seeking

First area of interest in job shadowing is

Second area of interest is

Third area of interest is

How many hours are you requesting

Have you been in contact with a provider

Yes

If so, who

Do you have a medical condition or disability that requires a special accommodation

Yes

If yes, please describe any special needs

Has your sponsoring provider indicated you will be using the dictation system

Yes

Has your sponsoring provider indicated you will need Electronic Medical Record (EMR) access

Yes

Licensing and Certifications

State	Number	Status	Type	Date Issued	Expiration Date	Operations
State	Number	Status	Type	Date Issued	Expiration Date

Important changes to online health information access

Pharmacy Practice Residency

Student Clinical Experience Application

Licensing and Certifications