Thank you for your interest in Watertown Regional Medical Center (WRMC)!
 
Note: If you are interested in applying for employment at Watertown Regional Medical Center, please return to the www.watertownregional.com webpage.
   
Student Application
Below you will find an application for individuals interested in a one day job shadow or student internship/ clinical rotation experience  with details including any pre-requisites, considerations for determining appropriate applicants and requirements for participation. This information will enable our Human Resources team to determine eligibility for an experience within our organization.

This application must be fully completed prior to being considered for an experience. (Even if you have previously discussed placement with a WRMC employee or provider).
 
Note: Prior to any placement, all requirements must be fully completed and on file at WRMC as directed. Due to our focus on patient care and Making Communities Healthier, WRMC reserves the right to refuse applications
Prior to any placement, all requirements must be fully completed and on file at WRMC as directed.
 
For more information on completion of requirements, please reference the "Student FAQ's" at this location http://www.watertownregional.com/work-at-wrmc/student-faqs
 
Before proceeding, determine which type of student experience you are requesting:

 Job Shadow-One Day Only
 
Watertown Regional Medical Center offers limited one day job shadows to explore future careers.

Before applying, applicants must meet the following prerequisites:

a. Applying 1 month or more prior to requested job shadow date. (i.e. if requested start date is 5/1/2019, application must be received on or before 4/1/2019)
b. Applicant is a current employee, immediate family member of a current employee or volunteer of WRMC and is 18 year of age or older.


Internship or student/clinical experience-Multiple days
 
Watertown Regional Medical Center offers limited internship/clinical experiences for students in an approved program of study.

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* 1. First Name

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* 2. Middle Name

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* 3. Last Name

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* 4. Date of Birth

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* 5. Address

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* 6. City

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* 7. State

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* 8. Zipcode

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* 9. Email Address

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* 10. Home/ Mobile Phone

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* 11. Emergency Contact Name, Relationship to you and Phone Number

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* 12. Tell us about yourself: In the field below, please describe yourself and why you are interested in an experience at Watertown Regional Medical Center.

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* 13. Name of School/ College/ University. Please include your Instructors Name in this box.

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* 14. Grade/ Year in School/ College/ University

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* 15. Requested Start Date (For a Job Shadow or Internship Experience only)

Note: Due to our commitment to Patient Centered Care and the resources required to provide this type of experience,  Watertown Regional Medical Center requires at least a month's notice prior to scheduling a student experience.

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* 16. Please choose one of the following types of experiences:

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* 17. If you are under 18 years of age, a parent or guardian must give permission for participation in an experience at Watertown Regional Medical Center.

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