Job Shadowing Program Participant Registration
Area of Job Shadowing
Please indicate your preferred Area for Job Shadowing: (i.e. Nurse, Diagnostic Imaging, Laboratory, Health Records, Pharmacist, Social Work, Finance, Environmental Services, CSR, Administration, Human Resources, Occupational Therapy, Physiotherapy, etc.)
If applicable please include the specific area of interest within the discipline you wish to shadow. For example, if Nursing – OB, Paeds, Rehab, Long Term Care or Social Work – Children, Mental Health, Adults.
Emergency Contact Information: