St. Luke's University Health Network

Nursing Students - Program Director

School Program Director Internship Process for Nursing Students

Please read the below information which outlines St. Luke's requirements to process a student/intern. The required forms are to be returned to the St. Luke's University Hospital - Bethlehem Campus - Educational Services Department prior to the student's intended start date to allow adequate time for review, processing and clearance. Those students who have a criminal history are to also include the Criminal Background Investigation Report form and all State/Federal issued criminal reports. Forms need to be submitted at least once annually.

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, Educational Services, 484-526-3031, with any questions.

Steps To Be Completed


Guidelines for Processing Students (updated 10/2013)

  • Please read the attached for an explanation on processing students.

Students assigned to the Warren Campus will need to meet these additional requirements:

In addition to meeting the Network requirements, the State of New Jersey has additional requirements which include:

  • NJ Department of Treasury (SDN)
  • NJ Consolidated Debarment Report  
  • Those students with a significant likelihood of contact with children must also complete New Jersey State Police Criminal History Check. The required form is provided to the student by the Warren Campus hosting manager. To complete the form in the proper format, follow the instructions in the attachment.

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 Human Resources Department with an appropriate cover letter stating the purpose and including information identifying the school.

Immunization History Form (updated 07/09/2013)

  • This form outlines the St. Luke's health history requirements which are to be kept on file at the school.

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.


Record Verification for Student Interns (updated 03/28/2014)

  • Please print the attachment and return to the St. Luke's University Hospital - Bethlehem Campus Educational Services Department with other requirements listed below in step #7.
5b. Warren Campus Student Verification Form (updated 03/28/2014)

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.
  • Please return the Registration, Commitment to Privacy, Information Technology Security, Child Protection Services Law Affirmation and Record Verification forms to:

    Director, Educational Services Department
    St. Luke's University Hospital - Bethlehem Campus
    801 Ostrum Street
    Bethlehem, PA 18015

  • Postal mail required forms for students assigned to the Warren Campus to:
    Annette Santos
    St. Luke's Warren Campus
    185 Roseberry Street
    Phillipsburg, NJ 08865
  • Incomplete materials will not be accepted, which may delay your student intern's start date.