Learning Link Application 08-09.pub

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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
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