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Job shadowing report example

Job shadow report 2026

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The document is a Job Shadowing Report Form for the Radiologic Technology Program at St. Cloud State University, requiring students to complete 12 hours of job shadowing in Radiologic Technology. It includes sections for student and hospital information, supervisor details, and instructions for submission upon completion.

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Click ‘Get Form’ to open the job shadow report in the editor.
Begin by entering your name in the designated field for the student’s name. Ensure it is printed clearly.
Next, document the total hours of job shadowing completed. Be precise and accurate.
List the dates of your job shadowing experience along with starting and ending times, ensuring that each entry is legible.
Fill in the hospital's name and address accurately, including city, state, and zip code.
Provide details about the department where you shadowed, ensuring clarity in your handwriting.
Enter your supervisor's email address and phone number, making sure they are correct for future communication.
Finally, have your supervisor sign and date the form once all hours are completed before submission.

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