Job Shadowing Application

Please complete the Windom Area Health Application for Job Shadowing below.

Name*
First Last
Phone*
Email*
Are you 16 years of age or older?*
In order to participate in job shadowing at Windom Area Health, you are required to be over 16 years of age.
- Yes
List all career positions you are interested in shadowing:*
Current School:
If this is a requirement for school or a course, please list completion requirements below:
Note: Individuals job shadowing will be required to show proof of required immunizations and TB screening.

Note: Individuals job shadowing will be required to show proof of required immunizations and TB screening.