Welcome to Bon Secours St. Mary's Hospital, we are glad you have chosen us for your clinical practicum experience.

Facility Map

Facility Coordinator: Maureen Phillips, Professional Development and Retention Coordinator

Phone: 804-287-7170

Email:  Maureen_Phillips@bshsi.org


The Confidentiality and Security Agreement for, the Student Agreement Form, and the Student Orientation Guide Attestation Page must be SIGNED, SCANNED, and EMAILED to the facility coordinator three (3) weeks prior to your START date.  Please also include your Course Syllabus and Learning Objectives.

Confidentiality and Security Agreement

Student Agreement Form

Student Orientation Guide with Attestation Page

 

Syllabus/Learning Objectives From your University or College 


Complete and submit the form below in order to have appropriate access to our systems.  We look forward to participating with you in your Professional Development as a Registered Nurse:

First Name *
Middle Initial *
Last Name *
Current Mailing Address *
Home Number *
Cell Number *
Email address *
College or University *
Class Course *
 Fall Semester
 Spring Semester
Course Professor/Instructor *
Contact Number *
Anticipated Graduation date *
Nursing Unit where Practicum will be completed *
Hospital Location *
I certify that I have signed and faxed the Student Agreement and Student Orientation Guide Attestation Forms.
 Signed Confidentiality and Student Agreement *
* required fields

featured job

Skilled nursing facilities at Bon Secours provide superior short- and long-term care. Be a part of our team - providing comfort, dignity and security.

learn more

featured job

Bon Secours provides good help to those in need through a workforce of over 22,000 employees in six states. Become a part of our team today.

search for a job

good sharing

Bon Secours International| Sisters of Bon Secours USA| Bon Secours Health System