High School Internship Application

Welcome to the Logan Health High School Internship Application page! We’re excited to have you here and can’t wait for you to explore this fantastic opportunity!


To ensure a smooth process and prevent delays, please complete your application accurately.


Once you submit the form, a dedicated member of the Logan Health Student Affiliations Team will promptly get in touch with you.


Keep in mind that during peak times, such as spring break, summer break, and winter break, processing your application may take up to a month. We appreciate your patience and understanding!

 
 
 

Include phone area code.

 
 
 

In case of emergency, please provide emergency contact name and phone number.

 
 

Who from the school oversees this internship? (Teacher, advisor, principal, mentor, etc.)

 
 

How many total hours is your internship request?/How many total days is your internship request?

 
 
 

By typing my full name, I agree that I will abide by the following Logan Health Policies:


  1. Logan Health Kalispell-Campus-Parking-01.26.24
  2. Logan Health Code of Conduct
  3. Logan Health Integrity Helpline, A332
  4. Logan Health Dress Code HR530
  5. Logan Health Drug and Alcohol, HR510
  6. Logan Health Fall Prevention- AGN469
  7. Logan Health Fit For Duty- HR511
  8. Logan Health Translation and Interpretive Services, A111
  9. Logan Health Patient Rights & Responsibilities, A401
  10. Logan Health Recognition and Reporting Abuse, A719
  11. Logan Health Reporting- Investigation- and Disclosure Program- A329
  12. Logan Health Student, Faculty and Non-Employee Training Programs, EDU800
  13. Logan Health Use or Disclosure of Protected Health Information, A903
 
 

This includes HIV infection, organ transplant, treatment with a Tumor Necrosis Factor (TNF) - alpha antagonist (infliximab, etanercept, etc.), chronic steroids (equivalent or more than prednisone 15 mg per day for 1 month), or other immunosuppressive medication.

 
 
 
  • prolonged, productive cough (3 weeks or longer)
  • unexplained fever/chills
  • unexplained chest pain
  • unexplained night sweats
  • unexplained fatigue or weakness
  • unexplained weight loss
  • loss of appetite
 
 

This Medical Release must be signed by each observer over the age of 18. Observers over the age of 18 must type their full name below and agree to the following statement: I hereby give my consent, in the event of injury or illness, for emergency medical/dental treatment, hospitalization or other treatment as may be necessary for my welfare by a physician, dentist, licensed nurse and/or other hospital employee during all periods of time in which I am participating in an Observation Experience at Logan Health. Further, I hereby waive any liability on the part of Logan Health, its directors, agents and employees, arising out of such medical treatment. I also agree to any charges that may be incurred for such treatments.



Medical Release - Enter your legal name*

Please enter your legal name

 

Application Items:

Please address the following items:


Student Badge Photo

**Required

    Guidelines

  1. Take a headshot where your head takes up 60% of the frame.
  2. Avoid selfies.
  3. Avoid extreme angles and use of filters.
  4. Select a simple background.



IF YOU ARE 18 YEARS OF AGE OR OLDER -

**Required

Logan Health Criminal Background Release Authorization Form

Background Check must include the following:

  1. National Criminal Background
  2. National Sexual Offender Registry
  3. Federal General Services Administration and Federal Health and Human Services Office of Inspector General (OIG)
  • Please contact Logan Health Student Affiliations to obtain this form.


MMR (measles, mumps, rubella):

Provide one of the following:

  1. 2 official records receiving vaccinations
  2. Positive titer results for each measles, mumps and rubella proving immunity


Varicella (chickenpox):

Provide one of the following:

  1. Record of 2 vaccinations
  2. Positive titer results proving immunity


Diphtheria, Tetanus, and Pertussis (DTaP, Tdap):

Provide one of the following:

  • Under 18 years of age:

                    *Provide one of the following:

  • 4 doses of DTap(one dose must be given on or after 4th birthday)
  • 1 dose of Tdap
  • 18 years of age or older:
  • One dose of Tdap (Tdap only – does not include DTaP or Td or tetanus)   


****You are not required to provide proof of vaccination but if you do not do so, we will consider you to be unvaccinated.

 


  1. Student Badge Photo
  2. Logan Health Criminal Background Release Authorization Form
  3. MMR (measles, mumps, rubella)
  4. Varicella (chickenpox)
  5. Diphtheria, Tetanus, and Pertussis (DTaP, Tdap)


PDF, JPG, or HEIF format only. HEIC is not accepted.

Drop your files here
 

**Logan Health High School Internships are not paid.

 

Type your name in the box below to certify your agreement to all of the above.