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. In order to determine eligibility, the following information is needed.

We will make an effort to respond in a timely manner. If you do not receive a response within 2 weeks, please send a follow-up email to kalamia@sphealth.org and tmcgree@sphealth.org. You may get an initial response 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

Educational experiences are limited and in high demand. It is recommended that program-required experiences be requested 6 to 12 months in advance of the requested/anticipated start date. Requests submitted less than 30 days before the requested start date will not be considered.

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

What is your affiliation with St. Peter's Health?

If you were previously a student at St. Peter's, please list the dates

What type of student experience are you requesting?

Clinical Rotation: Healthcare-specific, program-required practicum, internship or externship; may include direct patient care
Non-Clinical Rotation: Program-required practicum, internship, externship or project; does not include direct patient care
Shadow Opportunity: Not required for a currently enrolled academic program, but may be required for a program application or to ascertain career interest; does not include direct patient care

My student status is

What is the purpose of the student experience you are requesting?

"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 do you need to fulfill this request

Projected start date*

*Requests submitted less than 30 days before the start date will not be considered.

Projected end date

Have you been in contact with a provider or have a tentative commitment from a St. Peter's Health provider?

Yes

If yes, please list the provider's name

Please provide any additional information relevant to this request

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

MyChart activation and user help

Pharmacy Practice Residency

Student Clinical Experience Application

Licensing and Certifications