Please complete this application form if you are interested in participating in our Emergency Room Shadowing Program. Once you complete the form, click the submit button at the bottom.
I will show evidence of proof of immunity (signed by a healthcare provider to Measles, Mump, Rubella, and Varicella. I will provide results of two negative TB screenings done within the past year. I will complete the "Shadowing Expectations" form. I will sign a "Job Shadower Consent and Release of Liability Form" at my placement interview.