Career Observation Request Form
  • Career Observation Request Form

    Thank you for choosing Altru Health System for your career exploration. Career Observations are offered in select clinical and non-clinical departments based on availability and capacity. Applications may be deferred if an applicant has completed an observation within the past six months, unless additional hours are required for an educational program. Conversations with Altru staff do not guarantee an Observation placement.
  • Age Requirement
    • Participants must be at least 16 years old.
    • Participants under 18 must provide consent from a legal guardian.
    Application Completion
    • The Career Observation Application must be fully completed to be considered.
    • All required waivers, forms, checklists, and health documentation must be included.
    Orientation Requirements
    • Applicants must review the Career Observation Orientation Packet.
    • The Orientation Knowledge Assessment included in the application must be completed.
    Processing Timeline
    • Application processing may take up to four (4) weeks.
    • Scheduling for specific dates cannot be guaranteed.
    Submission Instructions
    • Submit the completed application and all supporting documents (e.g., current vaccination records) to CareerObservation@altru.org.

  • Current Age of Participant (participants must be at least 16 years of age)
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  • Date Signed by Participant
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  • Date Signed By Parent/Guardian
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    • CAREER OBSERVATION WAIVER OF LIABILITY AND HEALTH FORM For and in consideration of the participation of Click or tap here to enter text. (name of participant) in the Altru Health System (Altru) Career Observation Program, I, for myself, my heirs, executors, administrators, successor and assigns; do herby release, acquit and forever discharge Altru, its agents, employees, and all other persons who might be liable from any and all causes of action, claims and demands of whatsoever nature and kind whether known or unknown arising from my participation in said Program. Further, I, for my heirs, successors, administrators, executors and assigns do herby covenant not to bring any action against Altru, its agents, employees, and all other persons, providing services in the Program and agree to indemnify and hold harmless the same in the even any such action is hereafter brought, or claim is hereafter made.It is further understood and agreed that I, for my heirs, successors, administrators, and assigns, do hereby agree to indemnify and hold Altru, its agents, employees, and all other persons, providing services in the Program with respect to any potential subrogation claims by any and all third party payors with respect to payments made to the Hospital or any other healthcare or medical providers for healthcare with respect to any injuries sustained in the course of my participation in the Program.This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital. I further state that I have carefully read the foregoing release and know the contents hereof, and I sign my name as a free and voluntary act. I, the undersigned student, do hereby acknowledge that I have read and understand the following statements.I agree to abide by and be bound by the following statements in return for Altru allowing me to participate in the Altru Health System Career Observation Program.I will conduct my observation activities at Altru only under the supervision of an Altru employee.I will comply with all Altru rules and regulations, Altru policies and procedures, Altru Behavior Standards and the Rules of Conduct outlined in this application.I understand that Altru retains the right to remove any student at any time.I acknowledge that I am not an employee of Altru during the Program.I understand that I am responsible for the cost of any medical care that I receive from Altru for any reason.I acknowledge my responsibility and liability regarding the confidential nature of all information that I have access to at Altru by virtue of my participation in this Program.I understand that I may not participate in the Career Observation Program until I have read the Orientation Packet that includes, but is not limited to, confidentiality and infection control.I understand that I am required to maintain verification of all immunizations, test dates, and test results, and that I must make those verifications available to Altru upon request.Participation in the Program is prohibited unless this Waiver is signed by the Participant (and Parent/Guardian if participant is under the age of 18). 
  • HEALTH REQUIREMENTS  
    Career Observation participants must follow all Altru health requirements. Altru is not responsible for providing students with vaccinations or testing to meet health requirements for an Observation.  
    Seasonal Influenza – Participant must be immunized against seasonal influenza by December first of the applicable year. Exemption may be requested for medical or religious reasons – see Exemption Request form.   
    Personal Protective Equipment – Participant must follow all current Altru policies and procedures relating to personal protective equipment use for employees.  
    Proof of health requirements (medical records, copy of vaccine cards, etc) must be submitted with your Career Observation application.  
    HEALTH RECOMMENDATIONS  
    Altru recommends but does not require participants meet the following: 
    »         Covid 19 Vaccine  
    »         Negative baseline tuberculosis (TB) testing  
    »         Measles, Mumps and Rubella (MMR) Immunity  
    »         Varicella (Chickenpox) Immunity  
    »         Hepatitis B Immunity  
    Review details about health recommendations in a healthcare setting at immunize.org/catg.d/p2017.pdf.   
    INFLUENZA VACCINE EXEMPTION REQUEST  
    Career Observation applicants may request a vaccine exemption for seasonal influenza only. The exemptions may be requested for religious or medical reasons. The Altru Vaccine Exemption Committee will process and approve/deny exemption requests. Applicants will be unable to participate in an Observation until they have either an approved exemption or the applicable vaccine.   approved exemption or the applicable vaccine.

  • I wish to submit an exemption to the Influenza Vaccine*
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  • Format: (000) 000-0000.
  • Select the option that best describes you
  • What is the reason you are requesting this observation?
  • Days of the week that best work for you (mornings are typically 9am-12 and afternoons are 1pm-4pm)
  • Here are some areas that you could shadow, however there are many more jobs at Altru so if the area you are interested in isn't on this list please ask us

    CRNA Occupational Therapist Ultrasound
    Physician Nurse Marketing
    Physician Assistant Respiratory Therapy Lab
    Nurse Practitioner Radiology (xray) Human Resources
    IT or cyber security Physical Therapist  
         
         
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