Shadowing Forms

First and Last Name

Are you a UAB student

Select

Select your education level.

Select

We appreciate your interest in our department. Unfortunately we are only taking medical students interested in EM and will be unable to scheduling a shadowing opportunity at this time.

List your available dates. Give minimum of 5.

Are you willing to work overnight?

Select

List name of faculty member you want to shadow.

List your email. This will be how we contact you.

Upload your signed shadowing form. PDF Only.*

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