New Website Job Shadow Activity Request Form

Use this form to request a Job Shadow Placement. Be sure to complete form thoroughly and completely. You will be contacted with any questions or when the placement has been made.

"*" indicates required fields

What year will you graduate?*

Do you attend Upper Valley Career Center?*
Have you met with the Career Coach?*
(Include area code) Example: xxx-xxx-xxxx. (If you do not have a cell phone, enter 000-000-0000).
Include day, month, year: Example: 10-23-2001
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
Job Shadowing times vary based on the host company's schedule. Please indicate your availability:*
Did you attend the Workforce Power Lunch?*
How will you be transported to and from the company?*