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1 APPLICATION TO OBSERVE/JOB SHADOW AT FLORIDA HOSPITAL FOR FLORIDA HOSPITAL SPONSOR/PRECEPTOR USE ONLY APPROVAL DATES Specialty or Service/Dept: Start Date: End Date: FH SPONSOR/PRECEPTOR STATEMENT As a FH employee and/or a member of the Medical Staff with appropriate privileges for procedures, I endorse the applicant to complete the approved observation/job shadowing at Florida Hospital. This applicant will be under my full supervision. I have reviewed the application and credentials sub.

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