SHADOW WITH COVENANT

Thank you for your interest in shadowing with Covenant Community Care. 

 

Please fill out the following application if you are interested in observation related to career exploration or professional interest. This is typically a one-time opportunity for individuals who wish to accompany a Covenant employee during the normal course of his or her job responsibilities.

Contact Information

Country
State / Province*
Address
City
Email*
Confirm Email*
Phone*

Volunteer Information

When are you available to shadow (days and times)?
What skills and/or previous experiences do you have that connect with the shadowing opportunity?
Program of Interest
  • Physician
  • Dentist
  • Physician Assistant
  • Registered Nurse
  • Other (please indicate in Additional Comments section)
What are you interested in gaining from this experience?
What college/university do you currently attend?
Would you submit to a background check?
  • Yes
  • No
  • Please Contact Me About This Topic
May we send you updates about Covenant?
  • Mail & Email
  • Only Mail
  • Only Email
  • I Don't Want to Receive Updates

Emergency Contact

Please enter the name, address and contact information of someone Covenant can contact in the case of emergency. 

Name, Address & Contact Information
I understand and agree that submitting this application form does not automatically allow me to shadow with Covenant, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin shadowing.
  • I Agree
Additional Comments