Student Trainee Request Webform
Request for Unpaid Student Trainees/Interns Sponsored by School of Medicine Faculty.
All requests (non-Stanford student) must be approved by HRG, Employee Relations. Submit this request AT LEAST THREE WEEKS IN ADVANCE of student intern/trainee placement.
Note: Trainees must be at least 16 years of age to train in a Lab. Trainees are not permitted to observe clinical observations in the Hospital or Clinics. Trainees must be supervised at all times by Faculty/Sponsor/Supervisor. A complete application is required for each individual Student Intern/Trainee.
Submitter's Full Name
Faculty/Sponsor Full Name
Allergy & Immunology
Human Gene Therapy
Medical Biochemical Genetics
Student Trainee/Intern Information
Student's Full Name
Student's Date of Birth
Note: Trainees must be at least 16 years of age to train in a Lab. Trainees are not permitted to observe clinical observations in the Hospital or Clinics. Trainees must be supervised at all times by Faculty/Sponsor/Supervisor.
The trainee will be at least 18 years of age at the start of the training experience
Student's Year in School
High School Student
Not currently enrolled in school
Will the student intern/trainee receive academic credit for the training?
If yes, attach authorization/recommendation letter from student's school or proof of course registration.
Upload completed and signed forms:
1. Student Trainee Request Form (Packet 1)
2. Student Trainee Required Forms (Packet 2)
3. Copy of Student's Medical Insurance Card
4. If Student seeking credit, submit letter of recommendation and proof of course enrollment/description.
Send me a copy of my responses
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