CAREERS: The Next Generation
Health Services Youth Initiative
Work Placement Application Form
Congratulations! You have made an investment of a lifetime and a great choice to
enhance your future career. Please contact your school coordinator or local CAREERS director for additional information.
CAREERS h ealth internships are available as equal opportunities ('inclusivity') for students meeting the established criteria.
Preferred Internship Position Category Information (see pages 5 - 7)
Please select your preferred position category (#1 beside 1
st
choice, #2 beside 2
nd
choice) as there are a limited number of positions, all attempts will be made to
place students in their first choice, which is of course subject to availability.
Patient Care:
Work may involve patient assistance /interaction in a variety of venues including extended/ long term care facilities
Patient Support & Administration
Work may involve assistance with greeting patients, patient files, clerical support in a health care setting
Therapy Support:
Work may involve assistance in one of the therapy careers such as physiotherapy, speech language pathology in a variety of health care settings including
hospital units or long term care facilities
Projects, Education & Research & Technology
Work may involve conducting health related surveys, conducting patient interviews, compiling statistics from internet, gathering and organizing information
If preferences are not available are you open to any position category?
Yes
No
CAREERS: The Next Generation
Page 1 of 7
Availability
Student Information
Last Name: First Name:
Address: Gender: Male Female
City: Postal Code:
Email: Phone: Home Cell
School Name:
Birth Date: mm dd yyyy Alberta Student ID
(1)
: Graduation Year:
(1)
Alberta Student ID may be found on student’s report card or at www.education.alberta.ca, Alberta Student Number, enter Learner Registry
Indigenous Status (if applicable)
First Nations
Métis
Inuit
I would like information regarding the Indigenous Youth CAREER Pathways program.
Name:
Email:
School Contact / Off-campus Coordinator
Phone:
Are you able to provide full-time availability during the summer?
Yes
No
Driver’s License?
Yes
No
Learners?
Yes
No
Yes
NoWill you be able to arrange transportation to and from your worksite on a daily basis?
Mode of transportation:
Do you speak another language?
Yes
No If yes, what:
What are your future aspirations in health care (i.e. diagnostic imaging, occupational therapist, dietician, psychologist)?
What hospitals or clinics are closest to your home OR would you most like to work?
If No … Will be attending Summer School. Summer school hours are:
Which communities are you able to commute to for a placement?
Attempts for placements as close to your home will be made; however, this cannot be guaranteed.
A family vacation is planned. Dates include:
Other commitments. Explain and list time/date commitments:
Reviewed and approved by Parent/Guardian. Please initial
Summer: year: ______
Semester 1: Full Time Other:
Semester 2: Full Time
Part Time, Mornings
Part Time, Mornings
Part Time, Afternoons
Part Time, Afternoons Other:
Other
Revised October 2021
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x
I, the applicant, certify the information given in and with this application, resume, and cover letter is true and complete to the best of my
knowledge and that these documents may be viewed by employers for the purpose of determining potential placements.
x
I agree to attend any safety courses or prerequisite courses or sessions as required for individual programs.
x
I understand that applying for any off-campus program does not guarantee that I will receive an internship.
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I hereby consent and provide permission, as part of my participation in CAREERS programs, events, and activities, to be photographed, recorded
by video and other electronic means, and be interviewed for usage in CAREERS’ promotional material or other media, including video productions,
annual reports, website and brochure graphics, electronic media, newspaper articles or ads, CAREERS student customer satisfaction surveys and/
or approved CAREERS program surveys i.e. University of Alberta (Health), and event programs. I understand that this material will remain as the
property of CAREERS: The Next Generation.
Student Name (printed,mandatory):_____________________________
Student Signature: __________________________________________
Date:
I hereby consent to the terms above for my son/daughter. (Required if under the age of 18 at time of signing.)
Parent/Guardian Signature:
Date:
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As the internships provide real job experiences, students are treated like young adults, expected to show maturity and sound judgment. This is an
excellent opportunity for your son/daughter to gain confidence in making an educated career choice from their experience with the program.
Acceptance is based on your son/daughter’s expressed interest in this program, meeting the program criteria, and having the application approved
by the applicable school coordinator. Final decisions on internships are made by the employer through an interview process.
x
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Parent/Guardian Signature:
Date:
Please submit this along with:
x Teacher Recommendation Form
x
Offcampus Coordinator Recommendation Form
x Resume
x Cover Letter
to your school 2ff-campus &RRUGLQDWRU who will
deliver this to the local CAREERS Field Director.
Internships (Parents/Guardians please note.)
Off-campus programs are dependent on the availability of suitable worksites. Employers request interviews and retain the right to
select candidates. Every attempt will be made to offer opportunities to each student that applies and is accepted into the program;
however, neither the School nor CAREERS: The Next Generation can guarantee that every student will be placed.
9 If you know of an internship opportunity for your student, please contact your school’s 2ff-campus &oordinator or your local CAREERS Field
Director with information on that internship and they can assist in securing that internship for your student.
9 If you are an employer that would consider taking a student, please contact either the school’s 2ff-campus &oordinator and your local
CAREERSField Director for more information on the program and how you can get involved in assisting youth make educated career choices.
CAREERS: The Next Generation
Page of 7
Parent/Guardian Information: (Please fill in completely.)
Parent/Guardian Name:
Contact Phone:
Email:
Revised October 2021
Recommendation: Counselor / Teacher Form #1
Applicant: Please fill in the information below BEFORE giving form to respondent (teacher/counsellor)
Name of Applicant:
Recommendation Information
In what capacity do you know the student?
For
how long?
All students are eligible for enrolment into the Health Services Youth Initiative provided they meet the criteria. However, it is likely that not all
students will receive an internship position. An employer interview is necessary to be selected to participate in the summer internship.
Success will depend upon:
this student’s interest in the health care field
their capacity to meet the requirements of the workplace and school programs
their willingness to participate fully in a rigorous internship and school program
their ability to communicate and work as a team member
their school performance.
Rate each characteristic of the applicant below:
(1 = Low to 4 = Exceptionally High)
Indicate your perception of this student with respect to the following chart by placing a check mark (
) in the box below the appropriate number.
Poor 1 2 3 4 Excellent
Comments
1.
Level of interest in Health Careers
2. Academic Achievement
3.
Academic Potential
4.
Curiosity and Eagerness to Learn
5.
Attendance
6.
Behavior/Citizenship
7.
Communication Skills
8.
Accepts Advise and Constructive Criticism
9.
Interpersonal Skills
10.
Persistence (doesn’t give up easily)
11.
Responsible and Respects Confidentiality
12.
Teamwork
Special Notes:
Subject
Teacher Name
Teacher Signature
Return completed form to
before
(date required).
Teachers Please Note:
Recommendations may be submitted directly to the teacher/coordinator/career practitioner responsible for coordinating, collecting and
submitting the
Health Services Youth Initiative Internship Applications.
CAREERS: The Next Generation
Page 3 of 7
Phone
(
)
(Off-campus Coordinator)
Revised October 2021
Teachers Please Note:
Recommendations may be submitted directly to the teacher/coordinator/career practitioner responsible for coordinating, collecting and
submitting the
Health Services Youth Initiative Internship Applications.
Recommendation: Counselor / Teacher Form #2
Applicant: Please fill in the information below BEFORE giving form to respondent (teacher/counsellor)
Name of Applicant:
Recommendation Information
In what capacity do you know the student?
For
how long?
All students are eligible for enrolment into the Health Services Youth Initiative provided they meet the criteria. However, it is likely that not all
students will receive an internship position. An employer interview is necessary to be selected to participate in the summer internship.
Success will depend upon:
this student’s interest in the health care field
their capacity to meet the requirements of the workplace and school programs
their willingness to participate fully in a rigorous internship and school program
their ability to communicate and work as a team member
their school performance.
Rate each characteristic of the applicant below:
(1 = Low to 4 = Exceptionally High)
Indicate your perception of this student with respect to the following chart by placing a check mark (
) in the box below the appropriate number.
Poor 1 2 3 4 Excellent
Comments
1.
Level of interest in Health Careers
2. Academic Achievement
3.
Academic Potential
4.
Curiosity and Eagerness to Learn
5.
Attendance
6.
Behavior/Citizenship
7.
Communication Skills
8.
Accepts Advice and Constructive Criticism
9.
Interpersonal Skills
10.
Persistence (doesn’t give up easily)
11.
Responsible and Respects Confidentiality
12.
Teamwork
Special Notes:
Subject
Teacher Name
Phone
(
)
Teacher Signature
Return completed form to
before
(date required).
CAREERS: The Next Generation
Page 4 of 7
(Off-campus Coordinator)
Revised October 2021
CAREERS HEALTH SERVICES YOUTH INITIATIVE
PROGRAM SPECIFIC INFORMATION
Thank you for your interest in the Health Services Youth Initiative. This program is a collaborative partnership between CAREERS: The
Next
Generation, school districts and health employers. It provides students an opportunity to gain work-based learning experiences in a variety of
health
care settings including hospitals, labs, clinics and long term care facilities for a six-eight week summer or a part-time semester based internship.
Worksites are approved, a learning plan established, the student’s experience is supervised by a teacher and the student may earn high
school
credits. This is an opportunity for students to explore the health industry and enhance career development through observation and
experience.
REQUIRED Application Components (Submitted to CAREERS):
Health Services Work Placement Application Form (Pages 1 & 2)
Recommendations Off-campus Coordinator/Teacher/Counselor (Pages 3 & 4)
Cover Letter
Resume (include any volunteer work)
School Transcript of Marks (See your guidance counsellor)
School Attendance Record Summary (See your guidance counsellor)
If successful:
Complete HCS 3000 (Workplace Safety Systems)
Provide your supervisor with
Social Insurance Number
(Note: You must have and provide a Soc Ins # prior to
workplace entry.)
Off Campus Agreement (Your school will provide and sign this document to ensure
you
are properly enrolled in Off Campus through Alberta Education)
Obtain a criminal check security clearance. (Verify with your hiring manager)
Proof of Immunization (Verify with your hiring manager)
Tips for creating a cover letter and resume
Usually, cover letters should be company specific, but in this
case, address your cover letter to either CAREERS: The Next
Generation or your off-campus teacher.
Include the following information in your resume:
Employment / Work Experience / Volunteer Record
Relevant courses you have taken or are taking currently
Extra curricular activities especially those that show
employability and specific skills
Identify special skills, courses, and certificates (ie.
WHIMIS, First Aid, Drivers License, etc)
Include the following information in your cover letter:
Future Plans: What you want to do after high school?
What is your long term career plan?
Reason for applying: Why are you a good candidate for
this program?
Why do you want to be involved in the Internship
program?
What interests you in this field?
Your cover letter and resume should not be more than TWO
pages in length
Someone should proof read your documents! Be sure to sign the
letter.
Complete and submit required components to the School Representative (Off-campus Coordinator/Work Experience
Coordinator/Career Practitioner) responsible for the Health Services Youth Initiative at your school.
Ensure your contact information is accurate and accommodate the employer schedule where possible.
The School Representative should ensure that all of the student’s paperwork is in good order, complete with required
signatures prior to submission.
School representatives please submit applications of each student to CAREERS: The Next Generation by the
second Friday in April. Email your CAREERS representative or to careers@nextgen.org.
To find out the status of your application, please contact your school representative.
Successful candidates will receive a confirmation of employment letter with orientation and hiring information.
Students attending summer school classes will not be eligible to participate.
CAREERS: The Next Generation
Page 5 of 7
Revised October 2021
Program Information
Positions are very competitive. Final selection is based on interviews by the employers. There
is no guarantee of a placement.
Students should have/be:
1.
Registered as a full time student, on track to graduate from high school
2.
Excellent high school attendance
3.
Currently attending grade 11
4.
Interested in exploring / pursuing a career in a health services related field.
5.
Able to demonstrate employability skills as outlined by the "Conference Board of Canada".
Link: www.conferenceboard.ca/Libraries/EDUC_PUBLIC/esp2000.sflb
6.
Passing ALL courses in their current year.
7.
A willingness to meet dress and other policy requirements of the Health Care Employer
8.
Recommendations from the school they are currently attending
9. The support of a parent / guardian. Transportation to/from workplace.
10.
Available to complete six to eight weeks of work experience in July and August, or
be available part-time during semester periods.
Things you need to know!
1.
Contact your school represenative for the following:
a. Confirm you have been contacted for an interview.
b. Identify the position you are being interviewed for.
c. Obtain information on how to obtain a security clearance if successful
d. Ensure you have completed and received credit for HCS3000 (Also HCS3010 recommended).
2.
Plan to attend a student / parent / school representative information evening.
If successful…
1.
You may be required to attend a general orientation. Please confirm dates and times for the orientation with your hiring manager.
2.
An authorized member of your school district teaching staff will be assigned to monitor your progress in the workplace.
3.
You are expected to:
a. Be prompt and regular in attendance at work
b. Conform to organization rules and regulations
c. Accept direction and assignments from authorized supervising personnel
4.
A placement may be terminated at the request of the employer by notice to the supervising teacher (poor attendance, inappropriate conduct, breach of
confidentiality, improper dress, etc)
POTENTIAL AREAS FOR INTERNSHIPS
Below are examples of placements that have been used for Health Services Internships (as provided by students and
mentors during site visits). Roles can be varied within a day or the week. In some instances students are shared between
a number of areas.
PLACEMENT AREA
PLACEMENT DESCRIPTION
Admitting
Clerical, Reception duties, Patient registration
CSR
Delivery of requested supplies to units, Assembling trays, Restocking
Community/Health
Assisting with inoculation campaign, Clinics Patient
registration, Presentations, resources, and surveys
Dentistry
Placement and preparation of patients, Cleaning, and restocking, lab
work, sterilizing, Clerical and reception
Diagnostic Imaging
Assist with patients, Transporting of patients, Filing of x-rays, clerical,
and reception, Assist with positioning, processing
Dietary
Gathering diet information from patients, Resource information
prepared and dispersed, Price comparison, Assisting with collective or
co-op kitchen, Organizing recipe files in production, Updating nutrition
and ingredient information
Emergency
Transporting patients, Restocking, Room changeover, Patient and
visitor support, Greeting patients and managing waiting room
Environmental Health
Project work, Clerical support
Finance
Office support, Verifying information, Project focus
Health Records
Clerical support, Delivery to units
CAREERS: The Next Generation
Page 6 of 7
Revised October 2021
APPENDIX B CONTINUED
P
OTENTIAL AREAS FOR INTERNSHIPS
Laboratory
Data entry, and report distribution, Preparation, labelling and sorting
of slides, Clerical
Long Term Care
Feeding, Transporting, Assisting staff with personal
care, Recreational activities, Patient and visitor support
Nursing
Bed-making, Patient escort and companionship and/or
support,
Restocking, Extra pair of hands with patient care (bathing,
walking,
exercising, feeding, toileting), Compiling new charts, clerical
and reception
Pediatrics
Assist with children, Transporting, Program support
Pharmacy
Inventory and stocking, Assist with packaging of
medication, Delivering medications to units, Pulling expired
medication
Physical Therapy
Assisting with exercises, Putting together patient
information, Transporting patients
Physicians Office
Reception, patient files, switchboard, Scheduling of patients, Taking
patients to rooms and having necessary equipment ready, Rooms
ready and full
Plant Services (Facility Management)
Assisting Bio Medical Technician Inventory, Ordering,
Restocking
Recreation
Assisting with patients activities and exercising
programs, Transporting and accompanying patients, Assist with
personal care activities
Rehabilitation
Assist with feeding, exercising and transporting of patients, Patient
and visitor support, Preparing and cleanup of hot and cold
packs, Changeover of rooms, Assist with assessment and
documentation
Respiratory
Working in the clinics (weighing and measuring patients, room
changeover), Restocking, Transporting patients, Cleaning of
equipment, Developing resources (e.g. asthma-related website
design, brochures, and videos)
Speech Therapy
Assisting with simple exercises within group setting, Shopping for
supplies, Putting together patient information, resources and
preparation work, Transporting patients
Each year the number and type of health internship positions in your area varies. If additional program information is
required, please contact the Field Director in your area by going to the CAREERS Website: www.careersnextgen.ca or
contact CAREERS: The Next Generation, Edmonton, AB, by phoning 1-780-426-3414 (or Toll Free at 1-888-757-7172)
or by email: careers@nextgen.org
NOTE:
Please submit pages 1-4 and keep pages 5-7 for your referenc
e as the process
c
ontinues
for
plac
ing
the
summer
health interns.
CAREERS: The Next Generation
Page 7 of 7
Optometry Administrative Assistant
General office duties including filing, answering phones and matching
statements, Troubleshooting network IT issues, arranging meetings,
taking minutes at meetings, assisting with events/training sessions
Optometric Assistant
Help optometrists by welcoming patients to the clinic, imaging and
measuring vision, instructing patients in inserting and caring for contact
lenses, preparing examination rooms, cleaning and arranging equipment,
answering phones, making appointments, and other tasks as needed.
Revised October 2021