Please note: 
Due to COVID-19 , the Job Shadow Day program is postponed until further notice. 

Thank you for your understanding.  



For those considering a career in health care

Carroll Hospital offers Job Shadow Days on a regular basis so students and prospective employees see firsthand what it is like to work for the hospital. 

Through Job Shadow Day, Carroll Hospital offers the unique opportunity for students or those considering a career change to observe firsthand what it's like to work in the field of health care. The goal is to help individuals gain a better understanding of the knowledge and responsibilities related to the career they are interested in and assist them with making decisions for the future.
 

 

Complete the job shadow request form below:

* First Name
* Last Name
* Phone
* Email
* Address
Address2
* City
* State
* Zip Code

* I agree to present documentation for the following a minimum of 3 to 4 business days prior to my scheduled shadow day
  • MMR (Rubella Titer, Rubeola Titer and Mumps Titer)
  • Varicella Titer
  • Hepatitis B Titer
  • PPD within 12 months or, if a positive PPD, a chest X-ray within 1 year
  • Influenza vaccine during the flu season (September - April)

If any of the above titers show non-immunity, vaccinations are required. The only exception is Hepatitis B, where you have the option to sign a declination form



* Upon arriving for your shadow you agree to sign:

  1. Confidentiality and Responsibility Agreement for Carroll Hospital
  2. OSHA/MOSH for Bloodborne Pathogens Regulations
  3. Nicotine Attestation


* Are you over 18 years of age?

* School or College and Major
* Career Goals
* What do you hope to gain by shadowing at Carroll Hospital?
* Print Signature
* Today's Date

Parent/Guardian signature is required if the Shadow participant is less than 18 years old.

Parent/Guardian Signature
Today's Date

In case of emergency please contact:

* Name
* Relationship
* Phone

* By signing below, I agree to the following:

  1. The Shadow Day is OBSERVATION ONLY with NO "hands-on" experience.
  2. There is potential for exposure to blood and/or body fluids in the hospital setting.
  3. For everyone's protection, Carroll Hospital reserves the right to cancel your participation in the Shadow Day program in the event of illness or exposure to a contagious disease within the last 2 to 3 weeks.
  4. Completion of this Consent Form does not guarantee shadow placement. Additional restrictions may apply.