Student Checklist
Faculty, please read the following documents.
All students entering HCA for clinicals that involve direct patient contact, or for observation only, must complete all of the following:
1. Read the Student Education Tool.
2. Complete the online Student Education Tool Post-test. Minimal passing score is 80%. You will receive an e-mail notifying you of your test results. If you passed the test, print a copy of your notice and give it to your designated faculty member. If you did not achieve a passing score, review the Student Education Tool and retake the Post-test for a passing score.
3. Print, read and sign the HCA Confidentiality and Security AgreementGive the signed copy to your designated faculty member.
4. Read the HCA Code of Conduct. Page 37 of this document is an Acknowledgement Card. Print, complete and sign the card. Submit the card to your designated faculty member. Download the Code of Conduct PDF in English or in Spanish.
5. Print, read and sign Exhibit A: Statement of Responsibility and Exhibit B: Protected Health Information, Confidentiality, and Security Agreement. Submit the completed forms to your designated faculty member.
6. For Alleghany and LewisGale Medical Center students, print and complete this Student Background and Verification Order Form.
For Montgomery and Pulaski students, print and complete this Student Background and Verification Order Form.
Give the completed forms to your designated faculty member. We must receive your completed forms at least two weeks before your first day at HCA. Failure to comply with this request could affect your clinical rotation at HCA.
7. Print and fill out the Parking Application and give it to your designated faculty member (this application applies only to students at LewisGale Medical Center).
These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:
(this link opens a new browser window).
Search for a career at Pulaski Community Hospital.
If you have a disability and require assistance completing the online application, please contact the Human Resources Department at 540-994-8414.