St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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Job Shadowing Application

* Required
First Name: *
Last Name: *
Phone Number: ( ) - - *
Parent/Guardian contact number (if applicable): ( ) - -
E-mail Address: *
Verify E-mail Address: *
Are you 18 or older?: *
Are you a nursing student?: *
  If you answered Yes to the above question:
Graduation Date:
Name of School:
Are you considering a career in Healthcare?: *
School Name: *
School Status/Year: *
School Contact Reference: *
Dates and Times You Can Shadow:
(For most Nursing areas - shadowing
will be M-F, 7 to 11 AM)
*
 
Division you would like to shadow:
Nursing
6500 (Med/Surg ICU)
6600 (Telemetry)
6700 (Cardiovascular/Pulmonary Stepdown)
7600 (Med/Surg/Renal)
7700 (Oncology)
8600 (Orthopedics)
8700 (Surgical)
9600 (Neuroscience)
9700 (Med/Surg/Pulmonary)
CVICU (Surgical/Cardiovascular ICU)
Labor and Delivery
Operating Room
Mother/Baby
Emergency Room
Special Care Nursery
Therapy Services
Physical
Speech
Respiratory
Occupational
Other
Radiology
Laboratory
Sleep Medicine
Vascular Lab
Hyperbaric Medicine
Cardiology Services
Pharmacy
 
Are you interested in shadowing in a department not listed above?:
If you answered Yes above, please explain:
 
 
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St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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