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Port Huron Hospital’s Job Shadow Program Online Request

The job shadow experience is designed to be a one-time observation only for two (2) hours.  The job shadow experience does not fulfill any clinical or internship requirements; nor does it provide any hands-on experience.  Job shadows are typically only available Monday through Friday from 7 a.m. to 5 p.m.
Click here to learn about Port Huron Hospital's Job Shadow Program
As part of the application process, you will be required to read and agree to the terms of our Confidentiality Agreement and acknowledgment of Responsibilities. You can read both documents using the link below.

Parents of minors will also be required to read and agree to these terms.

Confidentiality Agreement

           

Acknowledgment Form

 

Note: Required fields are marked with an * 

Contact Information
 *  
   
 *  
 
   
 
 Yes   No
Address Information
 
   
 
 
 

Port Huron Hospital Affiliation
   
If yes, please provide title and department 
   
   
If yes, please provide name during time of employment, date and department 
   
 
If applicable 
   

Please note that shadow opportunities in your area(s) of interest may not be available at the time of your request.

* Area of Interest
         
 
           
 
       
 
   
Day and Time Preferences
Day Preference * 
       
Time Preference *       
Agreement of Terms / Age Verification
*   
*