Job Shadow Program

Important Points

• College/university level-learners and high school juniors or seniors are welcome to apply.
• You must fill in required immunizations on the form. Submissions must include copies verifying all immunizations. Your family doctor’s office can provide these records, or you may use the Wisconsin Immunization Registry.
• Proof of current influenza season vaccination is required for any experience between Nov. 15 – May 1. Exemptions will not be considered.
• Every effort will be made to set up your experience within 4-6 weeks, but patient care needs and staff availability may require more time. If a request cannot be approved, you will be notified as soon as possible.
• Experiences with family members or your personal health care provider are not allowed.
• The number of hours requested may need to be adjusted based on resources/availability.
• For a candidate pre-hire observational job shadow request please skip to #4.

How to Apply

To complete your onboarding process, please follow the steps below:

1. Complete Addendum A and Addendum B

Fill out Addendum A and Addendum B completely and sign where indicated.

2. Save the Forms as PDF Files

After completing and signing the forms, save each one as a separate PDF.
Please label your files clearly, for example:

• Addendum A – Your Name.pdf
• Addendum B – Your Name.pdf

3. Prepare Your Email

Attach the following three items to your email:

• Addendum A (PDF)
• Addendum B (PDF)
• Your immunization record

4. For candidate pre-hire observational shadows

Fill out the form below and return to your hiring manager prior to your shadow.

Candidate Pre-Hire Job Shadow Information/Agreement

5. Email the Forms to the Correct Contact

Send your email to the appropriate ThedaCare Education contact listed below, based on your program or role:

If you have any questions, feel free to reach out to your designated contact. We’re here to help!