Job Shadowing

JOB SHADOWING AT HSHS

Thank you for your interest in job shadowing at HSHS. Please complete the steps below to begin the application process.

Please note: If you are already an HSHS colleague, you do not need to fill out any of the below documentation. Please contact the department you are interested in shadowing to make job shadowing arrangements.

1. Fill out and submit the form below.

2. Compile proof of all heath documents needed and upload them below:

MMR vaccination (measles, mumps and rubella), regardless of age. Documented history of two MMR’s or documentation of positive Rubella, Rubeola and Mumps titre.
Mantoux tuberculosis (TB) skin test done within the last 12 months with negative results. If TB skin test is positive, documented report of a negative chest x ray must be on file. In addition, TB symptom survey must be on file and updated annually.
Varicella vaccination. Documented history of two Varicella vaccines or positive Varicella titre or documented history (from a health care provider) of chicken pox or shingles.
Proof of influenza vaccination for the current influenza season for any observer who is in an HSHS facility for at least one day of their observational period between October 1 and March 31.
If you were born in the state of Wisconsin, check the Wisconsin Immunization Registry to obtain a copy of your vaccination records. If you were born in the state of Illinois, check the Illinois Immunization Registry to obtain a copy of your vaccination records.

3. Upload the job shadow form and health information documents using the document upload fields in the form below.

4. Once all information is processed a representative from Human Resources will contact you.

Please allow at least 2 weeks for processing. Applications with any incomplete information or immunization documentation will not be approved.

Any questions regarding job shadowing, please contact ericka.mulroy@hshs.org.

Name:

U.S. phone number:

( ) -

Email:

Address:

City:

State:

Illinois
Wisconsin

U.S. ZIP code:

School/Organization:

Sponsor:

Sponsor Phone Number:

( ) -

Sponsor Email:

Name of Requested Ministry/Observational Site:

Department/unit/practice where observation will occur:

Reason for observation:

Are you currently doing a clinical at an HSHS facility?:

If you selected yes to the question above, please state the location you are doing a clinical at:

Upload job shadow form:

Upload health documents:

Upload additional health documents:

Security code: