For High School Students We regret to announce Sparrow's Job Shadow program for Adults and Minors is temporarily suspended, however, we will continue to receive applications. Sorry for any inconvenience this may have caused. Thank you. Name First Last Address Street address Street address line 2 City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMicronesiaMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code Phone Type - Type -HomeOfficeCell Phone Ext: Email Birthdate Location Requested Sparrow Hospital Sparrow Clinton Sparrow Ionia Sparrow Carson Sparrow Eaton Grade in School Name of School Career Interest Have you volunteered at Sparrow within the last 12 months? - Select -YesNo Please write a sentence or two as to why you would like to job shadow I am interested in the Job Shadow Program because It is a graduation requirement It is part of a class project It is a personal interest of mine Other… Enter other… I have read and agree to the following I will attend the required orientation with Human Resources and will complete the orientation within 1 year of orientation (TB skin test expires after 12 months). Orientation for Sparrow Clinton and Sparrow Ionia sites will be scheduled by HR following receipt of your application. I will uphold all Sparrow Health System's policies, procedures, and protocols. I expect no remuneration for this education experience. I will participate ONLY as an observer and, will NOT participate in any hands-on activities involving the patient. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question 5 + 3 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Leave this field blank
