CEA Career Week Student Application
Email
example@example.com
Name
First Name
Last Name
Mobile Phone
-
Area Code
Phone Number
Would you like to receive texts at this number?
Yes
No
Home Phone
-
Area Code
Phone Number
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Non-Binary
Student ID#
Current Grade Level
12
11
10
9
School District
Fort Zumwalt
St. Charles
Orchard Farm
Francis Howell
Wentzville
Lincoln County R-III
High School
Fort Zumwalt North
Fort Zumwalt South
Fort Zumwalt West
Fort Zumwalt East
Fort Zumwalt Hope
Orchard Farm
Francis Howell Union
Francis Howell
Francis Howell Central
Francis Howell North
Francis Howell Heritage
St. Charles High
St. Charles West
Wentzville Liberty
Wentzville Holt
Wentzville Timberland
Troy Buchanan
Please choose your first choice from the Career Cluster list below.
Human Services
Hospitality and Tourism
Government and Public Administration
Law, Public Safety, Corrections and Security
Education and Training
Agriculture, Food and Natural Resources
Information Technology
Marketing, Sales and Service
Finance
Business, Management, and Administration
Arts, Audio-Visual Technology, and Communications
Health Science
STEM
Architecture and Construction
Manufacturing
Transportation, Distribution and Logistics
Please choose your second choice from the Career Cluster list below.
Human Services
Hospitality and Tourism
Government and Public Administration
Law, Public Safety, Corrections and Security
Education and Training
Agriculture, Food and Natural Resources
Information Technology
Marketing, Sales and Service
Finance
Business, Management, and Administration
Arts, Audio-Visual Technology, and Communications
Health Science
STEM
Architecture and Construction
Manufacturing
Transportation, Distribution and Logistics
1st choice- Desired Job Title (Example: Police Officer, Registered Nurse, Librarian, etc)
2nd choice- Desired Job Title (Example: Police Officer, Registered Nurse, Librarian, etc)
If you have selected Health Science as your desired Career Cluster, please understand that there may be additional requirements or costs associated with the experience, such as providing a copy of your immunization record or obtaining a flu shot or TB test. Are you willing and able to meet the criteria that may be required to participate in certain healthcare experiences?
Yes
No
I am not interested in Health Services
Parent/Guardian Information
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email Address
example@example.com
Phone Number
-
Area Code
Phone Number
Participant Agreement
* I understand by making this request I am making a commitment. Once connected to a business professional, I will complete my experience.* I understand It is my responsibility to let both the business professional I am connected with and the CEA Program Specialist know as soon as possible should I wish to withdraw the request for an experience or if I cannot make it to the experience due to illness or an emergency. * I understand that I will be required to provide my own transportation to the experience and that my experience may take place in St. Charles County, Lincoln County, St. Louis County, and the City of St. Louis, or any of the surrounding areas. If you have restrictions regarding the location of the experience, please note this in the restrictions/accommodations section, but please understand that this could limit the experiences available to you. * I agree to respect the professional's time by arriving on time for my experience. Not showing up or cancelling at the last minute is unacceptable. Missing an experience is considered an unexcused absence. Please refer to your school's attendance policy for further clarification.* I understand that though every effort will be made to find an experience for each applicant as close to the the career field requested, sometimes substitutions will need to be made depending on the availability of business professionals. * I will wear suitable business attire. * I will keep my phone off during my experience.* I will actively participate and ask questions.* I will complete the evaluation at the conclusion of the experience.*I will provide the attendance secretary the business professional's business card for verification of attendance upon returning to school.* I will send a “thank you” note to the professional within 48 hours after the experience.
By checking "Yes" you are acknowledging receipt and understanding of the above guidelines and agree to follow them.
Yes
No
Please list any restrictions or accommodations that you may need, including ADA accommodations. Also, include any additional information we may need to know that is not included on the application.
Enter the message as it's shown
*
Anything else you would like to tell us?
Submit
Should be Empty: