Cardiac and Vascular Sonography Program-Student Shadowing Application Form

Student Shadowing Application Form

Pdf Summary

This document is an application form for a student shadowing program in the field of cardiac and vascular sonography. The program offers a short-term shadowing opportunity for individuals to observe the workplace environment and duties performed by healthcare professionals in this field. Participants must be at least 16 years old and are not allowed to perform any work or patient care. The program typically lasts half a day to two days, with a maximum duration of three days.<br /><br />The form outlines specific criteria for high school and college students, including age and current enrollment in a school or university. It emphasizes the importance of completing all the required information and submitting the application at least four weeks before the desired observation date. Students must adhere to the facility's policies, including professional appearance and the prohibition of photography or social media usage.<br /><br />Furthermore, the document states that a background check report is mandatory for student learners aged 18 or older, and it should include social security verification, criminal history search, sexual offender registry check, and other relevant information. Students are responsible for obtaining their health immunization records, including vaccinations for MMR, Varicella, tuberculosis, flu, and COVID-19.<br /><br />The form concludes with a student observation participation and confidentiality agreement, which specifies the terms and conditions of the shadowing experience. It covers areas such as observation activities, confidentiality of patient and facility information, fitness requirements, compliance with policies and rules, release of liability, and the possibility of withdrawal from the program due to unsatisfactory conduct or cooperation.<br /><br />The document instructs students to sign the agreement and provides space for a parent or legal guardian's signature if the student is under 18 years old. The completed application is submitted to the clinical coordinator.

Keywords

student shadowing program

cardiac and vascular sonography

short-term shadowing opportunity

healthcare professionals

age requirement

observation duration

application submission

facility policies

background check

confidentiality agreement