Job Shadowing Experience

Please complete this application accurately four weeks prior to the requested Job Shadowing Experience in order for People Services to properly assess your application. You will be contacted within 48 hours of receiving this form.

Note: Incomplete forms will not be processed

Required field - must be filled in. A red asterisk (*) marks required fields.

Contact Information

*Name  

Address

City

Province

Postal Code

*Email  

*Phone  

Cell

Emergency Contacts

Contact 1

Name

Relationship

Phone

Contact 2

Name

Relationship

Phone

Academic Information (if applicable)

Name of Academic Institution

Program of Studies

Year of Enrollment

Type of Program






General Information

*Are you 18 years of age or older?  

*Proposed dates of Job Shadowing Experience



*Where do you want to job shadow? (list all options here)  

Do you require any special accommodations due to medical limitations, disability or other restrictions? If yes, please explain

Learning Objectives

*Is this Job Shadowing Experience a requirement for your academic program?  


*Please explain why this job shadow experience is necessary to you.  

*Please provide your specific Learning Objectives for this Job Shadowing Experience

 

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