Take Our Kids To Work Day 2025

Take Our Kids To Work Day 2025 - In-Person

Wednesday, November 5, 2025.
Please know that this form includes Alberta Health Services, Alberta Precision Labs, Recovery Alberta and all other pillar sites and staff requests.

This form is to be filled out by the interested student and their parent/guardian.

We are excited for the Alberta Health Services (AHS) Take Our Kids To Work Day 2025.

This in-person event is for High School students who are interested in learning more about the career of a parent, guardian or employee working in healthcare.

At the end of this form, we will require an electronic signature from:
- the student/participant
- parent/guardian and
- Employee Host (if different from parent/guardian).
Once the manager has reviewed this request, you will recieve an email confirming if you may proceed with attending this event.

All students must watch this video before attending: AHSecure. Collect IT. Protect IT.

Please note that attendees may be exposed to real medical situations, medical images, and information that some may find graphic and disturbing.

For more information, please contact youth.careers@ahs.ca .

Let’s get started:
Student Information
Student Name*

First NameLast Name
Student email (best email to send participant information) *
example@example.com
Name of school (no acronyms please):*
No acronyms please.
Are you willing to participate in an interviewed for a web story about your experience that may be shared in our Internal newsletters?

YesNo

Employee Host Information

This may be a parent, guardian or an employee who has agreed to host you for the day.
Name of Employee Host *

First NameLast Name
Work Phone Number*
Please enter a valid phone number.
Employee Host Email (please ensure email is spelled correctly as approval is sent via email). Must be work based email.*
example@ahs.ca
Name of Healthcare Organization:*

Alberta Health ServicesAlberta Precision LaboratoriesAcute Care AlbertaAssisted Living AlbertaPrimary Care AlbertaRecovery AlbertaPhysican/Medical Affairs groupOther
If your Healthcare Organizations name was not included above, please indicate below:
Position Title of Employee (no abbreviations)*
Registered Nurse, Human Resources Advisor, Manager etc.
Healthcare Zone*
Name of Site (no abbreviations)*
Milk River Health Centre, Royal Alexandra Hospital etc.
Department/Unit (no abbreviations)*
Registered Nurse, Human Resources Advisor, Manager etc.

Is your Host also your parent/guardian? Please note your parent/guardian is not required to be an Employee for you to attend. Must be work based email.*

YesNo

Parent/Legal Guardian Information
Parent/Legal Guardian Information

First NameLast Name
Phone Number
Please enter a valid phone number.
Parent/Legal Guardian Email
example@example.com

Department Manager Information

An approval request will be sent to the department Manager via this email. Take Our Kid To Work Day request cannot proceed without Manager approval.
Manager's Name*

First NameLast Name
Manager's Email (please ensure the email address is spelled correctly as this is sent directly for approval via email). Must be work based email.*
firstname.lastname@ahs.ca

Please note:

This experience falls under the AHS Job Shadow Policy and will adhere to its requirements.
- Participants must:
  - Adhere to all hospital site requirements.
  - Complete the required tasks included in the confirmation email, which may consist of:
    
    Watching the Information & Privacy and
    
    IT Security & Awareness video.
  - Completing the online learning module.
  - Submitting the signed Confidentiality and User Agreement found on the last page of the module before the scheduled day.
  - Complete the AHS Media Release form.
It is strongly recommended for participants to have the following vaccinations and/or immunizations: Chicken Pox (varicella), Hepatitis B, Influenza, Measles, Mumps, Rubella, Polio, Tetanus Diphtheria and Whooping Cough (Pertussis). Proof of other immunization/immunity may be required, subject to unit-specific requirements.

Many of our facilities and units are scent-free environments. Please refrain from wearing perfumes, colognes, or other scented products.

Wear closed-toed shoes comfortable for long periods.

During your experience you may find yourself in contact with diagnosed and undiagnosed vaccine preventable infections. If you are vaccinated, you are less likely to contract and spread the diseases you encounter.

Consent, Release of Liability & Confidentiality Agreement (the “Agreement”)

AHS is providing an opportunity for Grade 9-12 students to observe their parents/legal guardian or AHS employee hosts at work for one day. As the healthcare environment is likely an unfamiliar workplace for students, the parent/legal guardian and AHS employee host (set out above) must ensure that the Student is aware of and complies with AHS policies, directives and practices, especially those that refer to confidentiality and safety.

Please read the following carefully.
1. I would like to participate and host the Student for the “Take Our Kids To Work™” day at AHS.
2. I agree that it is my responsibility to ensure the Student complies with all AHS policies especially those related to confidentiality and safety. I will explain to the Student that AHS has a legal and ethical responsibility to safeguard the privacy of all patients/residents/clients and to protect the confidentiality of their personal information. The Student agrees to abide by the AHS policies and procedures concerning confidentiality and release of information.
3. I understand the Student must keep all personal and health information private and confidential.
4. I will not allow the Student to observe any patient/client or AHS employee without first receiving the patient/client or AHS employee’s prior consent. I understand that I am responsible for the Student while on AHS premises and I accept personal liability for any improper conduct of the Student, including but not limited to any breach of privacy or confidentiality.
5. I understand the benefits and risks involved in the “Take Our Kids to Work” Program (the “Program”).
6. I understand participation in the program is voluntary and I freely accept and fully assume all such risks, and the possibility of personal injury and damage or loss to personal property because of taking part in the Program. In consideration of AHS offering the activity, I agree as follows:
  1. To waive and release all claims that I or the Student have or may have in the future against AHS and its board members, employees, agents, volunteers, and independent contractors (collectively referred to as
    the "Releasees"), as a result of my participation or the Student’s participation in the Program due to any cause including negligence, breach of contract, or any other duty of care but excluding any negligence on the part of AHS or any Releasee
  2. To hold harmless and indemnify the Releasees from any and all liability for any property damage or personal injury to me, the Student or any third party resulting from participation in the Program; and,
  3. That this Agreement is effective and binding upon myself, my minor child named as the Student, and each of our respective heirs, next of kin, representatives and assignees.
7. It is strongly recommended for participants to have the following vaccinations and/or immunizations: Chicken Pox (varicella), Hepatitis B, Influenza, Measles, Mumps, Rubella, Polio, Tetanus Diphtheria and Whooping Cough (Pertussis). Proof of other immunization/immunity may be required, subject to unit-specific requirements.
  During your experience you may find yourself in contact with diagnosed and undiagnosed vaccine preventable infections. If you are vaccinated, you are less likely to contract and spread the diseases you encounter.
8. In entering into this Agreement, I am not relying upon any representations or statements made by AHS other than what is set forth in this Agreement. I also understand that I can seek independent legal advice before entering into this Agreement and confirm I have either obtained such legal advice or have voluntarily waived that right.
I have read and understand this Agreement. I agree with the terms of this Agreement and confirm my agreement by signing in the space below. I am aware that by signing this Agreement I am waiving certain legal rights, including the right to sue, which I, my child and our respective heirs, next of kin, representatives and assignees may have against AHS and/or Releasees.
Parent/Legal Guardian Signature*

Clear
Date*

MonthDayYear
Date
Date

MonthDayYear
Date
Student Signature*

Clear
Date*

MonthDayYear
Date
Upon agreeing below, an email will be sent to the Manager indicated, sharing the same information:

By agreeing below, the you certify that you will:
• review the content of this Agreement with the Student/participant and the Manager will reivew the content of this Agreement with the AHS Employee (Parent/Legal Guardian/AHS Employee Host);
• determined that the Employee’s work area is a suitable environment for participation in Take Our Kids To Work™ day; and
• discussed directly with the Employee any specific work area restrictions regarding participation in the Take Our Kids To Work™ day
Should be Empty:

Take Our Kids To Work Day 2025 - In-Person

Student Information

Employee Host Information

Parent/Legal Guardian Information

Department Manager Information