Job Shadow Student Career Interest Form
To be filled out by the student participating in our Job Shadow program.

Dear Applicant: We are pleased that you have been selected by your school to participate in this session, which will provide you with a week of work experience and career exploration activities. Please fill out the form below to let us know which careers most interest you! We look forward to working with you!
Email address *
Name *
Your answer
School *
Your answer
School Teacher/Coordinator *
Your answer
Which Session are you attending
Are you presently enrolled in a work experience program, or do you work? If yes, please describe.
Your answer
Do you have any health, dietary, or mobility conditions that require special medication or attention that we should consider when choosing a work site for you? If so please describe.
Your answer
What is your dream career? Is this the job you would like to job shadow in?
Your answer
What are some other jobs and careers that interest you? Let us know which ones you would most like to job shadow in.
Your answer
Describe any experience or skills that relate to your choices.
Your answer
How do you plan to further your education in these areas after high school?
Your answer
We're looking forward to this experience in Juneau with you! If you have anything else to add about your upcoming job shadow, please do so here.
Your answer
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