Observership Application Process

Dear Observership Applicant,

Thank you for your interest in coming to UCHealth University of Colorado Hospital for an academic Observership. We want your time with us to be a beneficial learning experience. The Observership program builds on the University of Colorado Hospital's desire to educate future clinical, administrative, and research leaders in health care. These academic Observerships facilitate knowledge sharing and expertise in clinical care, in addition to quality and innovation in healthcare.

Observerships are educational only and provide no hands-on experiences.
Observers will not physically engage with any patients or advise on any cases.
This is a voluntary opportunity and cannot be used for school credit.

Please review the Educational Experience Algorithm before submitting your application to ensure that you are a good candidate for this program. It is the responsiblity of the participant to arrange and confirm their Sponsor and the dates of their observation.

To apply, please follow the steps below. You MUST have your Sponsor confirmed before submitting your application. All materials must be submitted one month prior to your arrival. Please be aware, multiple signatures are required on the agreement. The agreement, which can be found in Step 4, indicates the dates and length of your Observership as well as your responsibilities and the responsibilities of your sponsor.

Step One: Fill out the Observership application below.

Step Two: Complete the three Required Education modules and their associated quizzes (found under Online training in the menu).

Step Three: Upload the following documents to your account:

Current CV or resume.
U.S. ID or passport.
Results of Background Check in home country.
Copy of Health Insurance coverage for the duration of your visit to Colorado.
Results of a 10 panel drug screen.
Documentation of current immunizations including:
- MMR (measles, mumps, rubella) vaccination
- Pertussis (or DPT, diphtheria, pertussis, tetanus)
- Chicken Pox
- Hepatitis B vaccination
- TB Status or Chest X-Ray (taken within the last 12 months)
- Season flu vaccination (October-May)
- COVID-19 vaccination record (final shot must be completed at least 2 weeks prior)

Step Four: Click on the Observership Agreement to download, print, and sign the sections indicated for Participants. Send the Agreement to your Sponsor to receive the required signatures from the Sponsor, Clinical Department Chair, and Clinical Manager.

Step Five: Schedule an in-person appointment with Volunteer Services and Shadowing to complete your onboarding. This typically takes place on the first day of the Observership experience. Volunteer Services will accompany you to the badging office to obtain your University of Colorado Hospital ID badge to be worn for the duration of the Observership.

Volunteer Services and Shadowing

University of Colorado Hospital

12605 East 16th Ave, Mail Stop F771, Aurora CO 80045

Required fields are noted in red.

User ID

User ID (verify)

Password

Password (verify)

CONTACT INFORMATION

* First name

Middle initial

* Last Name

Preferred Name if different from First Name:

Gender

* Address:

Apartment #

* City:

State

* Country

Zip code:

* DOB (MM/DD/YYYY)

* Cell Phone

International Number

* E-mail:

Are you a United States Citizen?

If no, are you authorized to work in the U.S.?

Do you have a visa?

If yes, what type of Visa?

Please upload a photo of yourself.

EMERGENCY CONTACT

Please provide the name and number of someone we may contact in case of an emergency.

* Name:

* Relationship

Phone (Mobile)

International Phone Number (if applicable):

* Emergency Contact E-mail

EDUCATION

Highest level of education completed

* Completed degree/subject

* School:

SPONSORING DEPARTMENT AND DATES

* Sponsor Full Name

* Sponsor Department

* Title

* Email:

Address:

* Phone Number

* Reason for Interest in an Observership

* Start of Observership

* End of Observership

APPLICANT E-SIGNATURE

I certify that all responses on this document are true to the best of my knowledge. I agree that this information may be verified by UCHEALTH Volunteer Services. I understand that any misrepresentation of information constitutes cause for separation or termination from Extended Academic Observership participation.

* Observership Applicant - please type your name in this field as a form of electronic signature

* Observership Application Date

PHOTO CONSENT: This is to certify that I give permission to UCHealth to use my image for news media, marketing, public relations, and/or hospital business purposes.

* Observership Applicant - please type your name in this field as a form of electronic signature

* Date:

After submitting this application, please login to the site at https://uclive.vsyslive.com using the email and password you entered above. Once you are logged in, you can upload all required documents, review required agreements, and complete your online required education modules. Thank you!