Job Shadow Program - Employer Enrollment Form

The Job Shadow Program provides students the opportunity to explore career paths and options, experience a professional work environment, connect with professionals in their career field of interest, and observe skills and job tasks related to their career field.

Employer hosts may

Design a job shadow experience that would give students a good overview of the profession and/or industry.
Structure job shadowing experience based on their company, industry and profession.
Manage multiple job shadow students in various career focus areas.

Employers can register for the Job Shadow Program by completing the following form.

Please provide general information about your organization

How would you describe your organizational type (Private, Governmental, Non-profit, etc.)?

What type of industry is your organization involved (medical, education, research, sales, etc.)?

Please provide contact information for the person from your organization who will be the point of contact (POC) for the job shadowing program

Name of Company or Organziation:

Company website:

Point of Contact First and Last Name:

Job Title and Department:

Phone Number:

Email Address:

Address:

City/Town:

State:

Zip Code:

Will students be shadowing/observing someone other than the POC listed above? If so, please list that person's name and contact info:

Name:

Title and Department:

Email Address:

Phone Number:

Additional Questions

1. Does your organization require job shadowing students 18 years old or older? Note: Seminole State has many high achieving dual enrollment students who may be under 18 years old but would greatly benefit in participating in this job shadow program.

Yes

2. Is your organization participating in the Seminole State Job Shadow program to screen for potential interns or job candidates?

Yes - the job shadowing program will allow my organization to evaluate potential candidates

No - my organization views the job shadowing program as a way to give back to the community

Both

Other (please specify)

3. Will your job shadow experience require students to complete forms* (background checks, medical record, confidentiality agreements, etc.) prior to the start of the program?

Yes

If yes, please provide details and deadlines below:

*If your host would like to provide any forms required by your organization in advance so that they may be distributed to your matched students once a match is secured, please email them to your job shadow program representative Tiffany Revels at revelst@seminolestate.edu

Please Read

Attention:

Thank you for registering as an employer host for the Seminole State College's job shadow program.

This job shadowing program requires NO program fees from participating students or employer hosts. Students are informed of their responsibility to cover the costs of their own transportation, food, and lodging (if applicable), and are aware that they may need to cover additional costs like background checks if background checks are required by their host organization. If your organization requires a background check for student(s) job shadowing please note that Seminole State College will NOT be responsible for covering that cost.

Because this job shadowing program is open to all students without GPA or class standing requirements, Seminole State Career Center does NOT screen students prior to participation in the Job Shadowing program. If your organization is seeking to use this job shadow experience as a job candidate screening tool, please note that Seminole State does not collect resumes, transcripts, proof of U.S. Citizenship, age or other specific demographic information for this program. If screening candidates is your company's intent, the request for documentation of qualifications should be coordinated between your organization's Human Resources office and the student(s) AFTER Seminole State informs you of a student match. It is expected that all organizations informed of student matches will honor their commitment to serve as employer hosts.

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