St. Luke's – Roosevelt Emergency Department

Returner Application

These are the instructions for returners. However if you have not participated in the program during the past calendar year (three terms), please fill out the new associate application. If you are new, please return to our new applicant page.

For a complete list of the necessary steps, please download our checklist. We ONLY accept online applications -no paper copies. Therefore please submit all of the following documents as PDF files titled: “LastName_FirstName_FormName.pdf”

1. Fill out the Returner Application.
2. If it has been over 12 months since your last PPD, or will be during the term, complete the Annual Health Assessment Form.
   • You may go to St. Luke’s Employee Health Services (EHS) to have it completed.
   • You may complete your PPD at a separate location, but we still require EHS validate your results using the form above.
3. Please fill out the Shift Selection Form.
• You will be given preference over new applicants for the shifts. We will do the best we can to accommodate everyone.

If you have a question that is not answered here, please contact the Academic Associate Chiefs.