<p>Student Job Shadowing Request Application</p><p>All students at St. Luke’s must be covered by an Affiliation Agreement between St. Luke’s and the student’s college/university.</p><p>Requests for observation/shadowing are reviewed monthly. Please allow four weeks for processing of requests. </p><p>Observation/shadowing placements typically last four to eight hours, with the exception of college credit observation hours. Placement for observation/shadowing is not guaranteed.</p><p>Email a copy of your completed form to [email protected] or mail the printed form to Robin Hutchinson, Education Department, St. Luke’s, 915 E. 1st St. Duluth, MN 55805.</p><p>For more information, please contact Robin Hutchinson, Education Department at the email above.</p><p>Part 1: Contact information</p><p>First name: ______Last name: ______Address: ______City: ______State: ______Zip Code: ______E-Mail address: ______Phone number: ______Cell phone number: ______</p><p>Part 2: Job Observation/ Shadowing Information</p><p>Are you a current St. Luke’s employee? ______Reason for observing/shadowing? ______College/University: ______Instructor name: ______Instructor contact information: ______Please describe in detail your area of interest (Specific field such as MD, RN, PA, etc with specific specialty, specific clinic/provider): ______St. Luke’s facility in which you would like to shadow: ______Have you made prior arrangements with a St Luke’s employee for this observation/shadowing request? ______If yes, please provide name, department, and contact information: ______Specific date(s) and time(s) desired for this experience: ______Number of hours needed to fulfill request: ______</p>