MCH Job Shadowing Application

Job shadowing gives you a chance to learn about the different skills and responsibilities that are shown throughout all departments! Med Center Health offers job shadowing opportunities within both of our clinical and non-clinical areas to give a better understanding of the different careers that are available.

If you have any questions, please contact Rachel Carver via email at CARVRE@MCHealth.net.

MCH Student Shadow Application

Personal Information

Name:

First Last

Address:

Street Address Address Line 2 City State ZIP Code

Email:

Cell Phone Number

Current Age:

If under the age of 18, please list your parent/guardian's name and email address below.

Parent/Guardian Name

Parent/Guardian Email

Are you a current employee of Med Center Health?

Yes

Shadowing Information

What school are you attending?

What are you interested in shadowing?

How many hours will you be observing?

Days and times of the week you are available to shadow:

What do you hope to gain out of this experience?

If you have already found a preceptor, please list their name:

Name

This field is for validation purposes and should be left unchanged.