Shadowing at UCHealth

University of Colorado Hospital and Metro Denver Clinics

**This application is designed for Active UCHealth Employees**

Welcome, and thank you for your interest in a shadowing experience at the UCHealth University of Colorado Hospial. This application serves as the initial step in requesting a shadowing opportunity. We are committed to providing an enriching learning experience and are pleased to support you through the application process.

As an active UCHealth employee, please complete the application using your UCHealth.org email address.
In an effort to reduce requirements for the application process, the health requirements and TB test are waived. Completion of the required online training modules within your portal is mandatory.

Questions?

Please reach out to us at uchshadowing@uchealth.org or call 720.848.1886 with any questions or concerns. We look forward to supporting your learning experience at UCHealth!

New User Details

User ID

User ID (verify)

Password

Password (verify)

Applicant Information

* Please select your situation:

* I am shadowing for an interview

* First name

Middle initial

* Last name

Preferred Name

Preferred Pronouns

* Address:

Apartment #

* City:

State

Zip code:

* DOB (MM/DD/YYYY)

* E-mail (your uchealth.org email is required in this field):

* Cell Phone (xxx-xxx-xxxx)

Education

Highest level of education completed

* School Name

* Degree/Major

Current student

School Attending (if applicable):

Emergency Contact

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

* First and last name:

* Relationship

* Phone (Mobile)

* E-mail

International Phone Number

Shadowing Information

* Are you shadowing at UCHealth University of Colorado Hospital on the Anschutz Medical Campus

If no, please input the facitity or clinic you are hoping to shadow at

* Date of Shadowing Visit (1 date per application)

* Start time (please use military time)

* End Time (please use military time)

Total hours cannot exceed 12 hours in a 12 month time period. If you are scheduled to shadow across multiple days, please complete a returning shadower application for each date.

** please make sure the total shadowing hours you requested match the time between your start and end times**

* Total number of shadowing hours requested for this event:

* UCHealth Sponsor Name

* UCHealth Sponsor Email Address (please double check spelling)

* UCHealth Sponsor Phone Number

* UCHealth Department Shadowing:

* Why do you wish to Shadow with UCHealth?

Health Information Upload

All health requirements are waived for UCHealth staff members.

Shadower's 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 staff. I understand that any misrepresentation of information constitutes cause for separation or termination from the Shadowing Program.

* Shadower's Name: Please type your name here as a form of electronic signature.

* Effective date

After you click 'Submit' you will be redirected to the home page.

This is a good time to review all FAQs if you haven't done so already.

Next Steps: Please access your account and complete the Shadowing Orientation Quiz, HIPAA training, and the listed Agreements. All steps must be completed at least 7 days prior to your shadowing date. Please inform your Sponsor to expect an email asking them to acknowledge date and time of your shadowing request.

Please watch for an email regarding the status of your application.

Please check your SPAM folder and add uchshadowing@uchealth.org to your contacts list to avoid missing our emails.