Dear Applicant, Thank you for your interest in applying to the Learning Link Career Observation Program sponsored by Memorial Hospital! The purpose of this program is to give students an opportunity to discover and gain knowledge of careers in health care. By participating in this program, students will receive pertinent information for career decision-making, insight about careers and the environment in a healthcare setting. The program helps to build a connection between what is taught in the classroom and how that knowledge may be used in a future career. Students are given a “real-world” look at a specific career field, knowledge to confirm their career interests, or information to help direct them down a different pathway. The program begins to build a relationship between the student and the institution, ultimately creating an atmosphere where Memorial Hospital may be seen as a potential employer of choice. Other goals include: Specific career skills and knowledge Specific career understanding Exposure to general work atmosphere Exposure to the Memorial Hospital culture Opportunity for student questions Opportunity to promote a career field Providing a connection between school and work Providing adult expertise in career planning Providing a career awareness tool to local guidance counselors, career counselors and educators Understanding the hospital patient Patient Confidentiality and HIPAA Policies Students must be 18 years or older; currently enrolled in high school, college or community college, and have a high interest in the medical field. Students will be required to complete a health and drug screen through Employee Health; flu shots will be mandatory during flu season. The students will be required to complete 50 hours of observation within the 8 week program. Orientation and program dates for 2016 are listed below. Spring Semester – Apply by December 4, 2015 Orientation: Saturday, January 16th Session: Monday, January 18th – Friday, March 11th Mandatory Exit Interview: Saturday, March 12th Summer Semester – Apply by April 22, 2016 Orientation: Saturday, June 4th Session: Monday, June 6th – Friday, July 29th Mandatory Exit Interview: Saturday, July 30th Fall Semester – Apply by July 29, 2016 Orientation: Saturday, September 10th Sessions: Monday, September 12th – Friday, November 4th Mandatory Exit Interview: Saturday, November 5th This packet includes the application, instructions and observation areas. Please read through all materials carefully before applying. Please make sure they are received by the Youth Programs Coordinator by the date above. For questions or additional information, please contact the Memorial Hospital Volunteer Services Department at 365-5372. Application Check List Please ensure that you have included the following items prior to submitting your application. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED AFTER THE DEADLINE. Applicants should submit: A signed and completed application Two letters of recommendation. Letters MUST be provided by someone other than a family member. Recommended references include: school counselor or advisor, professor, teacher or a community member (i.e. coach, work supervisor, minister, and mentor). Mail to: Volunteer Services Department Memorial Hospital Central 1400 E. Boulder Street Colorado Springs, CO 80909 Applications are scored based on a point system that evaluates the applicant in several areas. Students with the highest scores will be selected for an interview. Although many excellent students apply, only the top 20 students will be accepted for each semester. Applicants will receive written notification in the mail regarding the status of their application shortly after the deadline. Memorial Hospital Learning Link Career Observation Program Application (Please print or type) Semester Applying For: Spring _____ Summer _____ Fall _____ Name ________________________________________________________________________________________ Last First Middle Initial Email Address _______________________________________ Mailing Address _________________________________________________________________________________ Street or PO Box City Zip Cell Phone _________________________ Date of Birth ______/_______/______ Race Asian/Pacific Islander ____ Black ____ Home Phone __________________________ Age _______ M _____ F _____ Hispanic ____ Native American ____ White ____ Other ____ Name of School __________________________________________________________________________ Current Grade Level this Semester ________________ GPA _________ Work or Volunteer Experience What are your career aspirations? Why do you want to participate in the Learning Link Program? What are your expectations of the program? Observation Areas *All areas are subject to current availability Please list your areas of interest from the list on your application that coincide with your school schedule. Observation shifts are scheduled when it is most beneficial for the student and the department. You will work with the Youth Programs Coordinator and department preceptor for scheduling. Due to the high volume of requests for the Emergency Department, Outpatient Surgery and Birth Center, there is limited placement. Areas: Adult Intensive Care Unit Birth Center (Central) Birth Center (North) Emergency Department Gastrointestinal Lab/Conscious Sedation/Rad RN Inpatient Wound Care (nursing) Mother Baby (Central and North) Oncology Outpatient Rehab Outpatient Surgery Pharmacy Post Anesthesia Care Unit (Central and North) Radiology Rehabilitation Care Unit - 76 Surgical Trauma – 65 Women’s Pavilion 1st Choice Best times to observe: 8:00 AM-3:00 PM (Physician rounds M-F at 10:30) 7:00 PM-11:00 PM 7:00 PM-11:00 PM 7:00 PM-11:00 PM 8:00 AM-10:00 AM (M-F) 9:00 AM-3:00 PM (M, W, F) 8:00 AM-4:00 PM 7:00 AM-4:00 PM 8:00 AM-4:00 PM (M-F) 7:00 AM-11:00 AM (M-F) 8:00 AM-4:30 PM M-F, 11-5 Saturdays 10:00 AM-3:00 PM (M-F) 8:00 AM-8:00 PM 8:00 AM-4:00 PM 8:00 AM-12:00 PM (M-F) 8:00 AM-8:00 PM 2nd Choice IN CASE OF EMERGENCY (required) Name Relationship Phone Family Physician ______________________________________________ Phone ___________________________ Describe any physical or emotional limitations that might prevent you from doing a specific type of work: I certify that the above facts are complete and accurate to the best of my knowledge. I also understand that any false statements may be cause for immediate dismissal from the program. Applicant’s Signature (required) Date