Back to top

Phelps Memorial Health Center is proud to provide interested students the opportunity to learn about healthcare careers first hand. High School students in their junior or senior year and college students are welcome to apply for a career exploration experience. Print and submit the application three weeks prior to your job shadow experience.

Job Shadow Application Form (Print and Return)

**Surgery Students must print form and return with appropriate signatures from active staff physician**

Apply Online

Address
(if applicable)
Shadowing Interest

Written Request for PMHC Job Shadow Program

Please write a paragraph stating your reason for requesting this job shadow experience including personal goals. Please include course objectives/requirements, if applicable.



Parental Consent (required if student is under the age of 19)

I give my consent for the applicant to participate in the Phelps Memorial Health Center Job Shadow Program and release the Phelps Memorial Health Center of any liability while my son/daughter is on hospital grounds. In addition, I verify that my son/daughter has the following up to date immunization: Measles, Mumps & Rubella (MMR), Pertussis, Chicken Pox (Varicella) or history of the disease and Tetanus/Diphtheria.

You will receive an informational packet in the mail. In this packet you will receive confirmation of job shadow date and time. This paperwork (green copies from packet) will need to be signed and returned one week prior to your job shadow experience at PMHC.