Forms

Continuing Education

Baby Shower Booth/Sponsor Registration Form
BLS Check-off Registration Form
Credit Certificate Request Form

Health Careers Promotion

Notes From Home Application
Summer Health Intership Program (SHIP) Application

HOUSING

UNIVERSITY OF KENTUCKY

Please refer to the guidelines in the UK AHEC Rotation Information

UNIVERSITY OF LOUISVILLE

Students can obtain forms and information from the UofL AHEC web page

Job Shadowing

AHEC Student/Resident Fact Sheet
Job Shadowing Policy (St. Claire Regional Medical Center)
Job Shadowing Application
Job Shadowing Agreement (St. Claire Regional Medical Center)
Health History Statement (St. Claire Regional Medical Center)

PRECEPTORS

U of L application
KYCOM Adjunct Clinical Faculty Affiliation Agreement
UK Community Faculty Application

RURAL HEALTH SCHOLARS

Rural Health Scholars Application
Rural Health Scholars Parent/Guardian Consent Form

Student Packets

AHEC Student/Resident Fact Sheet

Clark Regional Medical Center
Code of Conduct

FLEMING COUNTY HOSPITAL
Fleming County Hospital Student Packet
Confidentiality Statement
Graduate Medical Education Policy

Meadowview Regional Medical Center

Meadowview Regional Student Packet

St. Claire Regional Medical Center
St. Claire Packet

St. Joseph Mt. Sterling
St. Joseph’s Student Packet
St. Joseph's Confidentiality and Acceptable Use Agreement
Ethics at Work Reference Guide

Student Services

Student Experience Evaluation