CEA Job Shadow Host Application
Company Name
Name
First Name
Last Name
Preferred Contact Method
Email
Phone
Both
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Ext.
Fax
-
Area Code
Phone Number
Business Address/Location The Job Shadow Will Take Place
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Job Title
Job Shadow Job Title
Brief Description of Proposed Job Shadow
Out of the 16 Career Clusters listed below, please select the option that best applies to what you do.
Agriculture, Food and Natural Resources
Education and Training
Law, Public Safety, Corrections, and Security
Government and Public Administration
Hospitality and Tourism
Human Services
Science, Technology, Engineering and Mathematics
Architecture and Construction
Manufacturing
Transportation, Distribution and Logistics
Health Science
Arts, Audio-Visual Technology and Communications
Information Technology
Marketing, Sales and Service
Finance
Business, Management and Administration
Is there anything additional we should know? (Special dress code, releases/special forms, age requirements, immunizations, parking, meeting instructions, entry to building, etc.)
We love to see pictures from students and professionals during career week. If students wish to take their own pictures, they must ask for your permission. Would you be okay with us taking a few pictures of your experience?
Yes
No
We appreciate you donating your time by providing job shadowing experiences for students. We understand your time is valuable, which is why we only ask for 2 hours of your time per experience. Job shadowing experiences are scheduled over a two week period in the spring and fall. How many students can you host on a given day?
1
2
3
4
5
Other
Availability for Job Shadow
Please indicate to us your availability for each of our program days. Feel free to pick more than one if applicable.
Week 1 Tuesday
8am-10am
10am-12pm
12pm-2pm
2pm-4pm
Week 1 Wednesday
8am-10am
10am-12pm
12pm-2pm
2pm-4pm
Week1 Thursday
8am-10am
10am-12pm
12pm-2pm
2pm-4pm
Week 1 Friday
8am-10am
10am-12pm
12pm-2pm
2pm-4pm
Week 2 Tuesday
8am-10am
10am-12pm
12pm-2pm
2pm-4pm
Week 2 Wednesday
8am-10am
10am-12pm
12pm-2pm
2pm-4pm
Week 2 Thursday
8am-10am
10am-12pm
12pm-2pm
2pm-4pm
Week 2 Friday
8am-10am
10am-12pm
12pm-2pm
2pm-4pm
How did you hear about CEA?
Advertisement
CEA Employee
School District Employee
Word of Mouth
Web
Other
Enter message as shown in box.
*
Submit Application
Should be Empty: