Internship, Job Shadow, and Campus Employment Registration Form
If you are the coordinator of an internship, job shadow, or campus employment opportunity for minors (under age 18), please use this form to submit those plans to the Office of Youth Protection and Compliance prior to the start of the internship, job shadow, or employment. You may respond with N/A as necessary.
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Your name (individual completing this form) *
Your title/position *
Your email address *
Your phone number *
Name of the college, department, or office hosting the internship, job shadow, or employment *
Description of the internship, job shadow, or employment *
Name of the minor (If there is more than one minor participating, please upload a list of the names and ages of all minors at the end of this form.) *
Are you also supervising/mentoring the minor participant(s) ? *
If you are not the supervisor/mentor, please provide the supervisor/mentor's name. (If there is more than one supervisor/mentor, please email a spreadsheet with the list of supervisor/mentors' names, titles, email addresses, and phone numbers to youth@rit.edu.) *
Please provide the supervisor/mentor's email address *
Please provide the supervisor/mentor's phone number *
Will there be additional staff (including RIT students) who will be working with the minor(s)? *
If yes, please list the staff names, their positions/titles, email addresses, and whether each individual may supervise the minor(s) at any time. If the list of staff is large, you may email a spreadsheet with this information to youth@rit.edu. *
Start and end dates of the internship, job shadow, or employment *
Weekly schedule of internship, job shadow, or employment activities *
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