This web based application can be filled out anytime. 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.
To access the application, please click below:
Health Requirements for ObserversTo 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:
COVID-19 VaccinationBeginning 6/1/2021, proof of full vaccination against COVID -19 or a documented medical exemption is required for job shadows/observations. 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). Fully vaccinated is considered 2 weeks after the second dose in a 2-dose series of the Pfizer or Moderna vaccines or 2 weeks after a single dose of the J&J/Janssen COVID-19 vaccine.
In the event that you cannot receive the COVID-19 vaccine due to a medical issue, documentation from your provider must be provided for a medical exemption. You will be required to take additional precautions in the clinical setting as a result.
Immunity to Measles, Mumps, and Rubella
Immunity to Varicella
Immunity to Hepatitis B
Annual Influenza VaccinationFor 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.