WBL Provider Form
Thank you for your interest in supporting students in exploring their futures. Please fill out the form below to let us know more about your background and what college and career exploration experiences you would like to participate in or provide for youth. Due to COVID-19, all activities for the 2020-2021 school year will take place online until further notice.
Your contact information will not be shared and/or visible with anyone outside of Your Future Is Our Business
Estimated time to complete form: 3-5 minutes.
Your Full Name:
Your Cell Phone or Business Number:
Name of your Company/Organization/Employer:
Your Job Title(s):
Share your Linkedin profile or tell us more about your career background (your specific area of focus, career history, organization affiliations)
Website or LinkedIn URL (Optional)
I would like to:
Host a virtual informational interview (allow a student or group of students to ask you questions about your job)
Serve as mock interviewer to help students practice job interview skills
Participate in a virtual career day (3-4 adults talk about their career to a large group of students and answer students' questions)
Serve as a virtual class speaker (give a talk or presentation about your career/career journey)
Share my career story on the What To Be, KSQD 90.7fm radio show/podcast
Host a virtual job shadow (students observe and learn while on the job with you for 2-4 hours)
Host a virtual tour of your workplace
Hire a student intern
Provide feedback on a student's resume
Serve as a mentor (have consistent monthly meetings with a student/s to provide guidance and coaching)
Serve as an "industry professional" judge for student portfolios or competitions
What career sector(s) have you worked in? (Optional)
Agriculture and Natural Resources
Arts, Media, Entertainment (Actor, designer)
Building, Trades, and Construction
Education and Family Services (teacher, social worker)
Energy, Environment, Utilities (gas, electric, telecommunications)
Engineering and Architecture
Fashion and Interior Design
Finance and Business
Health Services and Sciences
Hospitality, Tourism, and Recreation (Events, Culinary)
Information and Computer Technologies
Public/Government Services (lawyer, firefighter, etc.)
Transportation (mechanic, pilot, Caltrans worker)
How did you hear about this opportunity?
From a coworker
From a friend
From a newsletter or e-mail
From a search engine
From an educator
From my employer
From Rotary/A Rotarian
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No, not interested.
Thank you! We will follow up with you in 2-3 businesses days. Please feel free to share this form with others who might be interested! Questions? Email
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