Once an observer has found an Ascension sponsor they can fill out the Job Shadow and Observation Application. 

This web based application can be filled out anytime. Applicants can save an unfinished application and return later to complete the submission. The application includes 4 Steps:

 

Step 1: Observation Requirements - Review the requirements of arranging an observation and confirm you understand and agree to the requirements.

Step 2: Observation Application - Submit information about the observer including basic demographic information, contact information, volunteer/associate status and emergency contact information. Sponsor information must be included as well including name, role/position, and contact information. 

Step 3: Health Requirements - Observers who are a current volunteer or associate will skip this step. All other observers will be required to submit information and documentation showing proof that they meet each of the outlined health requirements. Documentation must be uploaded and attached - the files must be readable and clearly show proof the requirement is met. Review the "Health Requirements for Observers" section below for information on what is required. 

Step 4: Final Confirmation - Observers are asked to review and agree to a number of terms as outlined on the final step of the application. Observers under the age of 18 must have parental permission to participate in an observation. 

 

At any point, applicants are welcome to select the "Save and Return" option at the bottom of each page. Applicants will be emailed a link to their application and can return at any point to complete and submit the application. Unfinished or incomplete applications will not be reviewed and will be deleted after 90 days. To access the application, please click below:

 

Job Shadow and Observation Application

Health Requirements for Observers

To encourage interest in health care professions, Ascension Wisconsin has agreed to allow individuals to shadow/observe professionals at our sites of care, given the individual meets the following health requirements and provides proof/documentation of the items listed below: 

  • Tuberculosis Screening

    Negative test(s) for tuberculosis, as shown by negative findings on a Mantoux test orQuantiFERON-TB test, or a negative chest x-ray within the past 12 months.

    TB test(s) to confirm absence of TB infection can be obtained from a primary care clinic/provider or local health department. The test results document must include the date of the test and the result, and must be completed within the last 12 months.

  • Immunity to Measles, Mumps, and Rubella

    Immunity to measles (rubeola), mumps, and rubella as shown by a positive titer or two documented doses of live virus vaccine (MMR) administered a minimum of 28 days apart after the 1st birthday.

    Proof of immunity is most commonly provided through an immunization record. This can be obtained from your health care provider or through the Wisconsin Immunization Registry (or other relevant state database).

    If no record is available of immunizations, then the individual must request that a titer be conducted by their health care provider to prove immunity. The subsequent test results would count as proof.

  • Immunity to Varicella

    Immunity to Varicella as shown by a positive titer, evidence of two vaccinations, or reported history of Chicken Pox disease.

    Proof of immunity is most commonly provided through an immunization record or history of disease. This can be obtained from your health care provider or through the Wisconsin Immunization Registry (or other relevant state database).

    If no record is available of immunizations, then the individual must request that a titer be conducted by their health care provider to prove immunity. The subsequent test results would count as proof.

  • Immunity to Hepatitis B

    Immunity to Hepatitis B as evidence by a completed vaccination series and titer or completion of the attached declination of immunization form.

    Read the Vaccine Information Statement: Hepatitis B Vaccine: What You Need to Know published by the Centers for Disease Control and Prevention and understand the purpose and benefits of this vaccine, the potential side effects of this vaccine and the risk of not getting vaccinated.

  • Annual Influenza Vaccination
    For observations occurring between 10/1 and 3/31 each year: Proof of the seasonal influenza vaccine or a documented medical exemption.Proof of vaccination can be obtained from the provider at the time of vaccination or through the Wisconsin Immunization Registry (or other relevant state database).
    In the event that you cannot receive the seasonal influenza vaccine due to a medical issue, documentation from your provider must be provided for a medical exemption. You may be required to take additional precautions in the clinical setting as a result.