Job Shadow Program Application

* fields are required

First Name: *

Last Name: *

Student ID (S) Number: *

How did you hear about the job shadow program?: *

Home Campus: *

Major: *

Phone Number: *

Tri-C Email: *

Personal email: *

What is your job shadow area of interest? (Examples: Human Resources, Cyber Security, Mechanical Engineering, Pediatric Nursing) If you are unsure, enter N/A.

First Choice: *

Second Choice: *

Preferred company:

What do you hope to gain from this experience? (Short answer): *

Have you completed/updated your Handshake profile?: *

What is your primary mode of transportation? (Select all that apply.): *

Personal vehicle
Public transportation
Rideshare/carpooling
Other

Do you grant us permission to share your name, email, and phone number with employers who could potentially host you for a job shadow? : *

It is the student's responsibility to cover the costs of his or her own transportation and food. Cuyahoga Community College assumes no responsibility for health or accident insurance.
I agree to have my contact information released to the employer for the purpose of the Job Shadow Program.
I agree to abide by all business policies and all school policies during my Job Shadow experience.
Job Shadowing is a privilege, not a right. Unprofessional indiscretions, during and after the Job Shadow Program, will result in your removal from the program and future programs at the sole discretion of the Career Center.

ATTENTION: Job Shadow opportunities are not guaranteed.

I acknowledge and agree to all of the above rules and guidelines of the Job Shadow Program.

Participation agreement: *

Waiver: *

Date: *

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