High School Students: HOW TO APPLY

Please read the instructions thoroughly for each item below, then print, complete and sign all documents. If you are a 16 or 17 year old high school student, be sure to have your parent or guardian also sign all documents as required.

If Observing at Froedtert Hospital (Clinic and OR) or Community Memorial Hospital: 

If observing at Children’s Hospital:

  • CHW Observer/Job Shadow Agreement Form    (Please see instructions below regarding what portions to complete)
    • Page 5 of 11 Complete the observer request section and all health requirements (see below regarding immunizations). Leave observation dates open, we will fill those in;
    • Page 6 of 11 Please complete “reason for observation”. We will complete the rest.
    • Page 7 of 11 Sign/date in “observer signature” area
    • Page 10 of 11 Sign/date in “observer signature” area
    • Page 11 of 11 Please review the Student Orientation Training PowerPoint presentation below. Please check mark everything on page 11 once you have viewed it.
    • Student Orientation Training   
  • Copy of Current Immunization history – All observers in a patient care environment will need to provide immunization/vaccination documentation for the following:
    • tuberculosis **(within the past 12 months)
    • influenza ** (current during flu season; October 1st – April 1st)
    • proof of immunity to Rubella, Rubeola and mumps (documented history of 2 MMR’s or documentation of positive Rubella, Rubeola and Mumps titre
    • Varicella (chicken pox – must have documented history of 2 varicella vaccines or positive varicella titre or documented history from health care provider of chicken pox or shingles – verbal confirmation of the chicken pox will not be accepted).
  • Email, Fax or Mail documents and the dates you are available. (Be sure dates are at least 3 weeks in advance).

Services (please rate top 3 choices):

  • Trauma
  • Sports Medicine
  • Oncology
  • Hand & Upper Extremity
  • Foot & Ankle
  • Pediatrics
  • Spine
  • Total Joint Preservation
  • Total Joint Replacement

Please note it may take several weeks to complete your request.

Email, Fax or Mail all required documents to:

Tara Fikejs, C-TAGME
Medical Education Coordinator
Dept of Orthopaedic Surgery
Medical College of Wisconsin – HUB
8701 W Watertown Plank Road
Milwaukee, WI 53226-3548

If you have any questions, contact Tara Fikejs at:

Phone: 414-955-3217
Fax: 414-955-0061