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Job Shadow/Internship Application
Please fill out the below application for a job shadow or internship.
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* Indicates required question
Which option would you prefer?
*
Job Shadow - This is a 1-2 hour observational experience. You will be partnered with an industry professional in a career area of your interest in order to see what their daily jobs consists of.
Internship - A professional learning experience that offers meaningful, practical work related to the student's field of study or career interest. Time commitment consists of approximately 60 hours.
Student Contact Information
First Name
*
Your answer
Last Name
*
Your answer
What school/program are you affiliated with?
*
Liberty High School
Liberty North High School
Liberty Academy
NCAPS
Area Career Center
Northland Career Center
Other:
Required
What grade level are you in?
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9
10
11
12
Email Address
*
Your answer
Student Interest Areas and Time
Please list up to 3 choices for your areas of interest.
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Your answer
If you are interested in a Job Shadow, what dates and times are you available? Please mark N/A if you are interested in an Internship.
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Your answer
If you are interested in an Internship, what time of day are you available? Please mark N/A if you are interested in a Job Shadow
*
Your answer
Please list the beginning and end date you would prefer for your job shadow/internship.
*
Your answer
Please include a short description of why you are interested in a job shadow/internship opportunity.
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Your answer
Do you have an IEP?
*
Yes
No
Once you have submitted this form, you will receive an email response with further instructions.
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