Job For a Day 2023 Interest Form
Interested in hosting a LCPS junior or senior student or a few students to your workplace or place of employment on November 6, 2023 for a multi-hour career shadowing experience?  If so, please complete the contact information and short questionaire below!  
Email *
What is your name, email, and phone number? *
What is your place of employment and your position at your work site?   *
Where is your worksite located?  
What career path or industry best represents your work?
Are you available on Monday November 6th to host a student or students from 9:00 am to 3pm?   *
How many students woud you like your business or nonprofit to host on 11/6?   *
Would you/your business be willing to host a student that has an Individualized Education Plan (IEP) and would require some accomodations with possibly an adult job coach to accompany them for the day? *
Would you have students shadow just yourself or multiple people/departments/roles within your company or nonprofit?   *
Does your company/business/nonprofit require visitors (including students career shadowing) to sign an NDA, security agreement, or any other special forms?   *
Do you have any colleagues, industry network friends who you think would be good for me to contact about this opportunity?  If so, please provide their contact information. 
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