Allied Health Students - Program Director

School Program Director Internship Process for Allied Health Students

Please read the below information which outlines St. Luke's requirements to process a student intern. The Registration, Commitment to Privacy, Student Volunteer Instructor Research Consent and Release form and Record Verification forms are to be returned to the St. Luke's University Hospital - Bethlehem Campus Volunteer Services Department at least two (2) weeks prior to the student's intended start date. Those students who have a criminal history are to also include the Criminal Background Investigation Report form and all State/Federal issued criminal reports.

Internship start dates will be delayed if materials are not received at least two weeks prior to the student's intended start date.

Please note that audits will be conducted to verify St. Luke's standards are met. Educational contracts will be revoked if files are incomplete.

Please call the Director, Volunteer Services, 484-526-4676, with any questions.

Steps To Be Completed
1.	Guidelines for Processing Interns (updated 9/20/2012) (view the Intern Flow Chart) Please read the attached for an explanation on processing student interns. View our online presentation for School Program Directors
2.	Criminal Background Investigation Report If a criminal history is reported on the FBI Fingerprint Report, Child Abuse Clearance or PA State Police Criminal Background Check, please print this form and have the student complete and mail, along with all original criminal history reports, to the St. Luke's University Hospital - Bethlehem Campus Volunteer Services Department.
3.	Immunization History Form (updated 8/26/2011) This form outlines the St. Luke's health history requirements which are to be kept on file at the school.
4.	Drug Screen Requirements St. Luke's requires a five-panel drug screen on all student interns as explained in the attachment. If the school does not have a method of providing drug screening, drug screen services are available through St. Luke’s Occumed Resources located at St. Luke’s North. Please contact Donna Corsi at 484-526-3769 for further information or to set up an account.
5.	Record Verification for Student Interns (updated 9/20/2012) Please print the attachment and return to the St. Luke's University Hospital - Bethlehem Campus Volunteer Services Department along with the Registration and Commitment to Privacy Forms.
6.	TB Questionnaire Please print the attached form and provide to students who have had a positive TB test in the past. This form, along with a clear chest x-ray and/or BAMT (Blood Assay Mycobacterium Tuberculosis) test, should be kept with the student's medical file.
7.	Hepatitis B Declination Form Having the Hepatitis B series is strongly recommended for students completing an internship at St. Luke’s, but is not required. Should a student decline the vaccine, the attached form should be completed and kept on file with their medical history.
8.	Please return the *Registration, Commitment to Privacy form, Record Verification form and Student Volunteer Instructor Research Consent and Release form to:* Volunteer Services Department St. Luke's University Hospital - Bethlehem Campus 801 Ostrum Street Bethlehem, PA 18015 Incomplete materials will not be accepted, which may delay your student intern's start date.