Job Shadow Day Host Sign-Up Form Thank you for your interest in hosting Reality Changers student(s) at your work! Job Shadow Week is a week-long event from Monday, March 26, 2018 to March 30, 2018 and Monday, April 9, 2018 to Friday, April 13, 2018. Reality Changers students "shadow" professionals during a normal workday to gain a first-hand look at the skills, knowledge, and education required to succeed in a career. It is a half-day (2-4 hours) experience designed to expose high school students to the world of work and offer students a chance to explore careers of interest. We take care of transportation for your student shadower(s), all we require is to share your insights and expertise! Our students are looking to access a range of events that may occur in the workplace, such as fun fast paced days to the casual day-to-day based on workplace feasibility. Of course, what you choose to put on your student's itinerary is up to you. For instance, show the student a court hearing in action, a counseling session behind the two-way mirror, or observe a medical procedure. A section of this form prompt you to give specifics on what you have in mind for your shadower(s). Please complete the following form and we will contact you shortly with more information. Are you a new or returning host?*New HostReturning HostFirst and Last Name (type N/A for returning hosts only)*Company/Organization*Host's Position Title*Company Street Address (Including Suite Number, City, State, Zip)*Phone*Phone extension (if applicable)Email* FOR RETURNING HOSTS ONLY Please skip this section if you are not a returning host.First and Last NamePhoneHas any of your information changed since your last host?YesNo DETAILS ABOUT THE JOB AND WORKPLACEBrief Job Description of the Host's Position*This will help students understand what responsibilities you have and what they will be observing. It will also help us to better match you with students who express an active interest in the kind of work you do!What is the maximum number of students you would like to host on Job Shadow Day?*Which day(s) are you able to host a student?* Monday 3/26/18 Tuesday 3/27/18 Wednesday 3/28/18 Thursday 3/29/18 Friday 3/30/18 Monday 4/9/18 Tuesday 4/10/18 Wednesday 4/11/18 Thursday 4/12/18 Friday 4/13/18 Please check all that apply. We will do our best to pair you up with students on your preferred date. We will only select one of the days you are available unless otherwise specified in the additional comments section. If you are open to hosting on multiple days, please let us know how many days!What times are you available to host student(s)?*Job Shadow Day usually lasts 2 - 4 hours. (ex: 11:00am-3:00pm)Are you able to provide breakfast and/or lunch for your student(s) on Job Shadow Day? Yes (breakfast) Yes (lunch) Yes (breakfast & lunch) No Please indicate where the student will park (reserved parking spot, off-site parking, paid parking) and/or a link to any parking instructions.*What is the best number to contact you day-of?*Address where student will meet (if different than company address)Do you anticipate working from home during the Job Shadow dates indicated above?*YesNoWhat are the dress code requirements for your workplace?*CasualBusiness causalBusiness professionalUniform (for example scrubs)OtherPlease Explain*Are there any additional screening procedures you'd like us to implement when we match you?(Ex: Students must be at least 18, etc.)Upload any necessary forms or waivers. Drop files here or How did you hear about Job Shadow Week? Website Social Media (Instagram, Facebook, Twitter) Reality Changers Staff Reality Changers Volunteer (Board Member or Tutor) Other Please Explain This iframe contains the logic required to handle Ajax powered Gravity Forms.