Freeman Job Shadow Application

  

Student information

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First name
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Last name
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Gender
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Age
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Email address
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Phone number
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Street address
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City
*
State
*
Zip code
*
Emergency contact name
*
Emergency contact phone number
*
Which department or specialty would you like to shadow?
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Which day(s) would you like to shadow?
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Please list the dates that you'd like to job shadow.
Please note: shadowing takes 2-4 weeks to schedule following the time of application submission.
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Would you like to shadow in the morning, afternoon, or all day?

School information

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School you attend
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Graduation year
*
School contact name
(A counselor, instructor, or teacher who knows you)
*
School contact email
*
School contact phone number
*
School contact fax
*
Do you have any special requests or needs that the Job Shadow Coordinator or job shadow area(s) should be aware of?