Please complete this application accurately prior to the requested Job Shadowing Experience in order for People Services to properly assess your application. You will be contacted within 14 working days from when all the paperwork has been completed.
Note: Incomplete forms will not be processed!
Prior to submitting the form please visit Job Shadowing, download and complete the related documents and send to the perspective zone you are volunteering to. The zone contacts are located on the link provided.
Required field - must be filled in. A red asterisk (*) marks required fields.
Central Zone (Halifax Regional Municipality, Eastern Shore, Windsor, West Hants)Eastern Zone (Cape Breton, Guysborough, Antigonish, Strait Richmond)Northern Zone (Colchester East Hants, Cumberland and Pictou)Western Zone (Annapolis Valley, South Shore, South West Nova Scotia)
*Name
*Email
*Main Contact #
*Relationship
*Phone
Name of Academic Institution
Program of Studies
Year of Enrollment
Type of Program Diploma UndergraduateGraduateSpecialty/Advanced Practice ProgramHigh SchoolNot currently enrolled in an academic institution/program but planning toOther
*Proposed dates of Job Shadowing Experience
*Which program or programs do you want to job shadow? (list all options here). Please provide details so we can best accomodate your needs.
Do you require any special accommodations due to medical limitations, disability or other restrictions? If yes, please explain YesNo
*Is this Job Shadowing Experience a requirement for your academic program? YesNoNot enrolled in a program
*Please explain why this job shadow experience is necessary to you.
*Please provide your specific Learning Objectives for this Job Shadowing Experience .