Welcome to Rochester General Hospital Volunteer Services Department
University of Rochester
St. John Fisher
University of Buffalo
Who Will You Be Shadowing?
Title (Dr, PA, Nurse, etc.)
Have you already received permission to shadow this person?
If "no," please obtain approval before completing/submitting this application.
Shadowing Start Date
Shadowing End Date
From start to end date, my shadowing experience will be:
5 days or less
One week or longer
Please read and sign: I understand that any falsification of information on this application may result in immediate termination of the application/on-boarding process or the privilege of shadowing/volunteering with Rochester Regional Health. I authorize the Volunteer Services Department to contact any references that I may provide in the application and on-boarding process. If I am required to complete the health screening and medical examination process or any other requirements, I agree that my acceptance is contingent upon my passing these required steps. I understand that while shadowing/volunteering, I am expected to observe confidentiality with respect to all patient information at all times, and that failure to do so may result in my personal liability to the patient and/or the hospital.
For office use only:
's Volunteer Management Web Interface by