Kaiser Permanente Youth Leadership Program- Shadowing at Your Office
Guiding Today's Youth to Become Tomorrow's Leaders
Company Information
Company Name *
Your Name *
Your Title *
Phone Number *
Email Address *
Brief description of what your company does *
Who would our students be able to shadow in your company? (names, titles, brief job descriptions) *
How many days would you be able to host a student shadow? *
Can you host more than one student shadow at a time? *
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Is your office accessible by public transit? (check all that apply) *
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Between June 15th-July 25th, when would you be able to host students at your office? (you may list more than one option) *
Any other comments or information we should have?
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