In order to obtain post-secondary student placement at John Dempsey Hospital, the faculty of those institutions seeking this placement, need to proceed as follows:

1. Faculty need to first contact Susan Manzi in the Office of Staff Development at (860) 679-2826 to determine if clinical placement is possible (via the clinical department heads).

2. Generic Student Affiliation Contract 
   If there is not a current contract between your school and John Dempsey Hospital - University of Connecticut Health Center, one must be executed and signed by both parties before the affiliation can begin.

3. Pre-Affiliation Letter and Paperwork (228K PDF)
   Faculty or their designee must complete and submit to the Office of Staff Development the "Pre-Affiliation Verification of Agency Held Documents" form prior to the students' affiliation start dates.

4. Parental Permission Form
   For any student under 18 years of age, a Parental Permission form must be submitted to Educational Services prior to the students' affiliation start dates. See Pre-Affiliation Paperwork - Appendix A (228K PDF) for this form.

5. CHA Self-Learning Package (1077K PDF), Post-Test (136K PDF) and Answer Key (68K PDF). To read these files, you need to download Adobe Acrobat Reader unless this application already exists on your computer.)  Students must complete the Pre-Affiliation Orientation Self-Learning Package and post-tests prior to their affiliation start dates.

6. John Dempsey Hospital Self Learning Package
   The John Dempsey Hospital Self Learning Package and UConn Health Center Safety Checklist must be completed prior to the students' affiliation start dates. (Includes Student Pocket Guide, to be printed and kept with new student.)

7. UCHC Student ID Badges and Parking Permits 
   See item #6 on Pre-Affiliation Letter (228K PDF).
   
   We look forward to working with your students.