Job Shadow Company/Organization Interest Form

* fields are required

Please complete this form to provide contact information that will be used to promote and fill Job Shadow requests through the Job Shadow Program, and to develop a reference base of companies and organizations available for Tri-C student placement.

First Name: *

Last Name: *

Company/Organization: *

Position Title: *

Email: *

Phone : *

Company URL:

Date: *

Tri-C Alumni?: *

Yes
No

Year Graduation: *

Degree: *

Major: *

Name while attending Tri-C (if different):

Tri-C Employee?: *

Yes
No

How did you hear about Job Shadowing at Tri-C?:

Biography (100-150 Words) Include education, relevant subject matter experience, and anything else you would like to share: *

Career Area or Interest (Subject matter that you have knowledge of and/or expertise to share): *

Availability (Check all that apply): *

Morning
Afternoon
Evening

Preferred Days (Check all that apply): *

Attach Resume (Optional):

Personal information is for office use only and is used for scheduling or canceling engagements

I agree to volunteer my time in the Tri-C Job Shadow Program, and recognize that the College does not pay for this community service.: *

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