Common Contracts

1 similar null contracts

Contract
August 15th, 2016
  • Filed
    August 15th, 2016

OBSERVATIONAL LEARNING (JOB SHADOW) AGREEMENT(Observation Only – “No Hands On”) Participant Name (PLEASE PRINT) Participant Address City State Zip Code Participant Phone Number(s) Participant E-mail Participant School/Organization Program of Study Grade Level I am currently employed, or have been employed in the past by Marianjoy Rehabilitation Hospital Yes No If yes, please specify location and position Are you at least 16 years of age? Yes No Number of Hours Requested to Observe Date(s) of Requested Observational Learning (Job Shadow) Specific department or occupation you would like to observe Objective/Reason for this observational learning request This job shadow has already been arranged with: Please arrange this observational learning (job shadow) experience for me Specific name of staff member you’d like to shadow (if known Agreement To encourage interest in health care professions and initiate training of future health care professionals, Marianjoy Rehabilitation Hospita

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