Shadow Program

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Shadow Program Application Form

Shadow Program

Thank you for your interest in Nursing at UMHS! We look forward to sharing our professional atmosphere and showing you how teamwork makes a difference in the lives of our patients and co-workers.

The purpose of the Shadow Program is to give students currently enrolled in a R.N. program and licensed Registered Nurses considering employment at UMHS an opportunity to observe and experience U-M Nursing. You will be set up with a preceptor and observe the procedures and skills performed by a R.N. during a 3-4 hour time period.

If you are interested in shadowing a Nurse at UMHS please apply below. A Recruiter will contact you directly to coordinate the shadow within 72 hours.

If you have questions regarding the shadow program please call Nurse Recruitment at 734-936-5183.

We are delighted in your interest in shadowing a nurse.

The shadow program is open to students currently enrolled in an ADN or BSN program or licensed RNs looking at the University Health System for possible employment.

If you meet one of these qualifications, please fill out the application and submit for review. You will be contacted within 72 hours of receiving the completed application by a representative of the Nurse Recruitment Department.

Adult step-down	Adult Surgery	Adult Gen. Med.
Ped Hem/Onc	Ped Med/Surg

Junior/Senior nursing students currently enrolled in a BSN program, 2nd-year students currently enrolled in an ADN program, please elect only from the following areas:

Adult step-down	Adult Surgery	Adult Gen. Med.
Ped ICU	Ped Hem/Onc	Ped Med/Surg
Ped Cardio/Thor	Surgery ICU	Trauma Burn ICU
Cardiac ICU	Psychiatric	Thoracic ICU
Medical ICU

YOUR AVAILABILITY

Check each time you are available for the specified day of the week (if you are not available that day, do not check a time). Please keep in mind it could take up to a month to schedule the shadow, days/times of avilability should be open.

Mon.	Tues.	Wed.	Thurs.	Fri.	Sat./Sun.
7am	7am	7am	7am	7am	7am
3pm	3pm	3pm	3pm	3pm	3pm
7pm	7pm	7pm	7pm	7pm	7pm

How did you hear about this program?

SEARCH JOBS:

Career Interest:

Work Location:

Full/Part Time:

Regular/Temporary:

Keywords:

Last Name:		First Name:
Phone No(s):	1 (2)	Email:
Address:
City:		Zip:

Titles: RN ADN BSN LPN 2nd degree Program
If nursing student, please answer next 2 questions:
1) School you're attending:
2) Current year in Nursing Progam:
BSN Students:
Freshman Sophomore Junior Senior
ADN Students:
1st year 2nd year
AREA(S) OF INTEREST
If interested in multiple units, please rank top 3 choices:
Freshman/Sophomore nursing students currently enrolled in a BSN program or 1st-year students currently enrolled in an ADN program, please elect from only the following areas:

Shadow Program

AREA(S) OF INTEREST

YOUR AVAILABILITY