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You can register for an introduction moment for trainees/students via the web form below. Pre-registration is required.
During this moment you will get to know AZ Maria Middelares and you can ask questions about the practical side of your internship.
For any questions you can contact firstname.lastname@example.org.
Enter the National Register Number as a number without dots, hyphens and spaces (11 characters). Mandatory for Belgian students.
Address details (domicile)
Preferably the email address of your school
Add a recent photo of yourself with a neutral background here.
A valid medical certificate is a strict condition to be able to start the internship in our hospital. You keep your medical certificate in your internship bundle/folder and must be able to present it at all times. Targeted checks for the presence of the certificate are provided. In the absence of this certificate, the internship will be terminated immediately.
A personally signed risk analysis/workpost sheet from your internship department is a strict condition to be able to start the internship in our hospital. You keep your risk analysis/workpost sheet in your internship bundle/folder and must be able to present it at all times. Targeted checks for the presence of the document are provided. In the absence of this document, the internship will be terminated immediately.
As a nursing/midwifery intern, you bring your internship goals with you to the reception and on your first internship day. The manager and/or mentor can request this. In the event of absence, the internship will be temporarily suspended.
Choose from the list below to indicate your internship location.
If you already have a badge from a previous internship, you can register it here. If your badge is lost, you can contact us by e-mail.
ATTENTION! Registrations are closed every Monday evening for the reception of that week. Register afterwards and you can follow the tour, but you will have to come back to pick up your badge.
In any case, you can only start an internship if you are administratively in order, have attended a reception moment and are in possession of your personal badge.
Confidentiality Statement – Students and Interns:
The undersigned declares to have read and approved the confidentiality statement (document in Dutch).
You will receive a confirmation email after you have successfully submitted this form. Be sure to check the spam folder in your inbox.
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