Career Observation Form

Thank you for your interest in a career observership at Mayo Clinic Health System.

To qualify for any type of observership, the interested candidate must meet all of these requirements:

  • Must be 18 years of age.
  • Must be a United States citizen or permanent resident.
  • Must sign the Section V: Applicant's Certification/Declaration.
  • Must review the Workforce Confidentiality Agreement Form.
  • Must review the Hand Hygiene Policy and Procedure.
  • Application must be approved by the Mayo Clinic Health System Leadership and Organization Development Department.
  • Request must be approved by the department of choice.
  • Communication is maintained between applicant and site coordinator.

An asterisk (*) indicates a required field.

Personal Information
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Date of birth:
Must be 18 years of age or older
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Please include name and phone number
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Career Observation

You are not permitted to observe family members for career observation experiences.

Mayo Clinic Health System location:



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Department/area you would like to observe:


















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Operating Room Interest or Provider/Physician Level Interest Only

This section is for college students enrolled in a specific operating room health care major or college students/graduates who have a specific health care major.

Specific health care major:




Or date you graduated
Requested Dates and Times of Observation Experience

Requested dates and times are subject to change due to availability within preferred department.

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Eight hours maximum
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Applicant's Certification/Declaration
Have you ever been arrested or convicted of a felony?

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Today's date:
By checking this box, I certify that all the information I have provided is complete and accurate, and that I have read and will comply with the Hand Hygiene and Confidentiality Policies.