Franklin County, PA Job Shadow Form

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Thank you for taking the time to fill in the Franklin County, PA Job Shadow Form. You will be notified when the form is received and will be contacted again after review. Please allow up to 10 business days to hear the status regarding your request. If you have not heard back within the 10 days, please email Keri at krkenney@franklincountypa.gov.

Email *

First and Last Name: *

Phone Number: *

High School/College/University Currently Attending (if you are not attending school right now, please write N/A):

Major (if applicable):

Expected Graduation:

Are you currently 18 years of age or older?
*

Yes

No, but I turn 18 before I plan to job shadow.

Do you need to do job shadowing for school credit? If yes, how many hours? If no, write N/A. *

What day(s) and time(s) are you looking to shadow? If you are not looking for a specific time frame, please write "any time." Regular County business hours are Monday-Friday 8:30-4:30 with the exception of holidays. *

Department(s) you would like to shadow: *

What are you looking to get out of the job shadow experience? What are your areas of interest? Please be as specific as possible so we can align you with the appropriate employee based on your interests. *

How did you hear about us? *

It is required to have health insurance to shadow with the County due to this being unpaid, therefore not being covered by the County's insurance. Do you currently have health insurance?
*

Yes

Not currently, but will have it later on.

Please check off the following acknowledgements: *

I acknowledge I will need to cover expenses for clearances, if applicable (approximately $60).

Required

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