Get Shadowing Experience Verification Form - Med Umkc

Filling out the Shadowing Experience Verification Form is a vital step for applicants to the Allied Health Scholars Program at UMKC. This guide will walk you through each section of the form to ensure you provide all necessary information accurately online.

Follow the steps to complete your form successfully.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering your last four digits of your Social Security Number in the designated field.
3. In the next section, fill in your first and last name.
4. Write a brief paragraph describing your physician assistant experience, sharing any relevant details that showcase your engagement and insights.
5. Next, provide the name, title, and facility of the physician assistant provider who supervised your experience. Ensure that this information is accurate and complete.
6. Have the supervising physician assistant sign and date the verification section of the form.
7. Indicate the duration of your shadowing experience in hours in the provided field.
8. Once all sections are correctly filled out, save your changes to the form. You can then choose to download, print, or share the completed document as required.
9. Finally, mail the completed form to the UMKC School of Medicine at the address provided in the instructions, ensuring it is postmarked by the stated deadline.

Complete your Shadowing Experience Verification Form online today to ensure timely processing of your application.