favorite Student Programs


Katherine Shaw Bethea Hospital is proud to offer learning opportunities for students pursuing careers in the healthcare field.

 


Thank you for your interest in student opportunities at KSB!

In addition to the below form, please submit the following paperwork no later than 30 days prior to the beginning of your rotation. Students must come to Human Resources at the beginning of their rotation to finalize paperwork and receive a badge.

A letter from your school that includes the following information must be submitted prior to beginning your student experience at KSB Hospital:

  • Verification you are a student in good standing
  • Approval from the school for the rotation at KSB Hospital with the dates of the rotation
  • A copy of your school’s certificate of liability insurance with KSB Hospital named as the certificate holder.

Immunizations/Health Information:

  • Proof of vaccination or immunity for:
    • MMR
    • Varicella
    • Hepatitis B
    • Flu vaccination (during flu season December – May)
  • TDAP vaccination within the last 10 years
  • TB Testing – within the last 12 months
    • Two-Step TB test OR
    • QuantiFeron Gold blood test

Student Information

Ex: January 1, 2000

Emergency Contact Information

Job Shadow Preference

If you are a high school student, please contact Deonna Campbell after you have submitted this form. She can be reached at (815) 285-5639 or dcampbell@ksbhospital.com

Required Documents

Please note that if you do not have the required documents at the time of filling out this application, they may also be turned in to the KSB Human resources department no later than 30 days prior to your rotation.
MMR, Varicella, Hep B and Flu Vaccination (Dec - May), TDAP (within last 10 years) and TB Testing (within the last 12 months)

Signature

Please provide your electronic signature, including first and last name

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