Job Shadow Program - Student 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. The Job Shadow Program is open to all Seminole State College students enrolled in a degree or certificate program at the time of registration.

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

Contact Information

First Name

Last Name

SSC Student ID Number

Phone Number

SSC Student Email Address

Answer the Following Questions

2. Are you currently enrolled?

Yes

4. If required by employer host for job shadowing experience, will you be able to complete forms (background checks, medical record, confidentiality agreements, etc.) prior to the start of the program?

Yes

5. What is your current major/degree program?

6. What your career interests? Please include industry, career field, and/or job type. (This information helps us target organizations to recruit as employer hosts for this job shadowing program).

Type your initials to indicate that the above information is correct.

Enter the letters and numbers that you see in the image

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Job Shadow Program - Student Enrollment Form

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