Student Registration
Connecting community members with FBE.
Student Interest Form
Name
*
First Name
Last Name
Email
*
(example@txwes.edu)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Major and Minor
*
Address
Street Address
Street address(optional)
City
State / Province
Postal / Zip Code
Anticipated Graduation Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reference
What type of work are you currently looking for?
*
Part-time
Internship (Unpaid)
Internship (Paid)
Project-based
Remote work
Summer employment
Mentorship/Job shadowing
What industries or fields are you most interested in?
*
(choose up to 3)
What pay rate are you comfortable accepting for employment per hour?
*
(if you're open to flexible ranges or learning opportunities, mention that here)
Do you have any previous work experience? If yes, briefly describe your role(s). If not type "N/A":
*
What skills or software do you currently have experience with?
*
(e.g., Adobe, Canva, Excel, customer service, graphic design, social media, etc.)
What is your general availability?
Rows
Morning
Afternoon
Evening
Late Night
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What specific days/times are you NOT typically available to work?
*
(include your class schedule if helpful)
Would you be interested in any of the following?
*
Job shadowing
Mentorship
Resume and/or interview coaching
Attending business tours or company site visits
Participating in job fairs or networking events
None of the above
What’s one area you’d like to grow in professionally?
*
(e.g., public speaking, professionalism, teamwork, technical skills)
Is there anything else you want us to know that could help connect you with the right opportunities?
*
How did you learn about FutureBuilt?
*
(e.g., word of mouth, referral, advertisement, social media)
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: