CASE Application Form

CASE

CASE (Clinical Access Shadowing Experience) provides an opportunity for students interested in pursuing careers in health and medical fields to observe, shadow, and participate in clinic services at the Klotz Student Health Center.

Name(Required)

First Last

CSUN ID#(Required)

Are you presently enrolled at CSUN?(Required)

Phone(Required)

CSUN Email(Required)

Major(Required)

Orientation time you plan to attend(Required)

Are you pursuing CASE for a class requirement?(Required)

Why do you want to participate as a CASE student?(Required)

Please note your career interest below.