Student Shadowing/Observation Request
Thank you for your interest in shadowing a health professional at HCC / Live Well Community Health Center. Please complete the following request. There are no guarantees that shadowing can be arranged but we will try our best to accommodate your requests.
First and Last Name
Your answer
Email
Your answer
Cell Phone
Your answer
High School / University
Your answer
Projected Graduation Date
MM
/
DD
/
YYYY
Dates available to Shadowing (you can put days of the week, times, etc.)
Your answer
Areas you are interested in shadowing
Locations you would be willing train (click all that apply)
Submit
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