By submitting this form, I request to observe a health care worker at UPMC in Central Pa. entity to help facilitate my selection of a career. I assume all risks of my participation, accept full responsibility and/or medical costs for, and hereby waive any claims or rights against UPMC, its parents, affiliates, subsidiaries, officers, employees, agents, or representatives that I might have related to, any accident, illness, injury, or other harm or loss incurred by me during, or as a result of, transportation to and from UPMC and/or the time spent at UPMC in Central Pa., including but not limited to the observation period.
By submitting this form, I agree to maintain the requirements as indicated by the UPMC in Central Pa. College Shadow Program Confirmation Letter.
All fields are required unless noted otherwise.
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