CAPA Job Shadowing Program: Pre-PA Interest Form

Welcome to the CAPA Job Shadowing Program! We’re excited to have you join us and take the next step in your journey toward becoming a Physician Associate. This experience will give you valuable insight into the PA profession, allowing you to observe patient care, clinical decision-making, and the collaborative role PAs play in healthcare.

Please take a moment to complete the form below.

Fields marked with an * are required.

First Name *

Last Name *

Email *

City *

Phone *

Personal Statement *

Please briefly tell us about yourself, your background, where you are in your pre-pa journey and what interests you in shadowing a PA.

Have you previously shadowed a PA or another healthcare professional? *

If yes, please list the types of healthcare professionals you've shadowed and facility types.

What are your goals for this shadowing experience? *

Upload CV/resume *

20MB max

Program Notice and Agreement *

By submitting this form, you agree to comply with all CAPA requirements for participating in the job shadowing program, including maintaining an active membership for the duration of your job shadowing hours. Additionally, the PA and/or facility you are matched with may have its own requirements, including but not limited to completing additional forms, providing references, and reviewing HIPAA policies.

CAPA Job Shadowing Program: Pre-PA Interest Form

Please verify that you have checked the “I'm not a robot” checkbox.

Empowering Healthcare