Student Experience Application

Primary Phone Number *

Are you currently a St. Anthony Hospital employee?

Hometown at time of high school graduation

Educational Institute(s) Name (Or Other Institute Name)

Educational Institute Address, City, State

Academic Course Coordinator (First and Last Name)

Academic Course Coordinator Phone Number

Academic Course Coordinator Email Address

Rotation Course Name (if known)

Current Major(s) Field of Study

Current Minor(s) Field of Study

Anticipated Date of Graduation

Start Date Requested *

End Date Requested *

Total Number of Hours needed at St. Anthony *

Type of Experience Requested *

Other Type of Experience:

What are your career goals? What prompted your request?

In the future, are you interested in working at St. Anthony?

Yes
No
Possibly

Is there anything else you would like us to know?

We would like to share a bit of information about you with our staff! Please write a short bio with some details about yourself (i.e. hometown, education, experience, interests/hobbies, etc.). If you do not wish to share any information, please type N/A. *

Please upload photo of yourself. (Head and shoulders please.)

By typing in your full name, you attest to the validation of your application.

If you are interested in completing a student experience, the first step is to complete the student application below.