Request for Job Shadow
Oshkosh Fire Department
Today's Date
*
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Month
-
Day
Year
Date
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I am 18 years or older
*
Yes
No
Have you ever been convicted of a crime, or are there any pending criminal actions against you?
*
Yes
No
Do you currently hold or have you ever held a position with an agency responsible for public health, safety, or welfare (e.g., law enforcement, fire department, EMT), or are you currently an emergency medical/fire student?
Yes
No
Please describe:
How do you hope this experience will help your goals?
*
First Preference Date to job shadow:
*
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Month
-
Day
Year
Date
Second Preference Date to job shadow:
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Month
-
Day
Year
Date
Third Preference Date to job shadow:
-
Month
-
Day
Year
Date
I have read the Job Shadow Policy 328 and agree to the program requirements:
*
Yes
No
Please upload the signed Agreement for Observation document
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You will be notified within 7 working days if your application has been approved.
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