Important!
After filling out the application below, please do not forget to upload the required documents. If you have any further questions, please contact Amanda Wessel, awessel@sdcmh.org.
Required Paperwork |
Clinical Student | Non-Clinical Student |
| University Required Paperwork | X | |
| Background Check | X | |
| Business Association Agreement (BAA) Signed by School (upon request) | X | X |
| Confidentiality Agreement | X | X |
| Resume/CVE | X | |
| Certifications and Licenses | X | X |
| Proof of Liability Insurance | X | |
| TB Skin Test (within last 12 months) | X | |
| Competency Checklist from School | X | |
| Immunization Record & Vaccine Status | X | X |
The below form is intended for the use of students interested in Educational and Internship hours. Please only use the form below if you are a student. If you are interested in applying for a different position within the hospital or our clinics, please click here to apply.
Required fields are marked with a *.
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* required field