Student Application, CEA Career Weeks- Spring 2024 Session
Thank you for your interest in the Spring 2024 Session of CEA Career Weeks. All experiences will occur between  . You will be able to choose the specific experience, date, and time on Monday, March 22th @ 3pm. 
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Email *
Email address (Please use an email address you check frequently as all correspondence will be done through email. Due to firewall issues a non-school email address is preferred). *
Last Name *
First Name *
Phone Number (no dashes) *
Would you like to receive texts at this number? (meeting reminders, etc.)
Clear selection
Date of Birth *
MM
/
DD
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YYYY
Gender
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Current Grade Level *
School District *
High School *
Which career category below are you most interested in? *
Which career category below is your 2nd choice, if different than the category from above?
Clear selection
What career field are you most interested in?  (Example: Physical Therapist, Police Officer, Realtor, Librarian, etc.) *
What career field is your 2nd choice (Example:  Physical Therapist, Police Officer, Realtor, Librarian, etc.)
Tell us a little about yourself (Example: extracurricular activities, interests, things you are good at why you are interested in a particular career field, etc.) *
If you have selected Health Science as your desired Career Cluster, please understand that a few sites may have additional requirements or costs associated with the experience, such as providing a copy of your immunization record or obtaining a flu shot or TB test. If there are additional requirements you will know before signing up for a specific experience. Are you willing and able to meet the criteria that may be required to participate in certain healthcare experiences? *
Parent/Guardian Information
Parent/Guardian Name (First and Last) *
Parent/Guardian Email Address *
Parent/Guardian Phone Number (XXX-XXX-XXXX) *
Participation Agreement
I understand by making this request I am making a commitment. Once I select a specific experience, I will complete it.
I understand It is my responsibility to let both the business professional I am connected with and the CEA Program Specialist know as soon as possible if I cannot attend due to illness or an emergency and need to reschedule.
I understand that if I decide to sign up for an in-person experience, I will be required to provide my own transportation and that my experience may take place in St. Charles County, Lincoln County, St. Louis County, and the City of St. Louis, or any of the surrounding areas. (You will know the general location prior to signing up for the specific experience.)
I agree to respect the professional's time by being on time for my experience and arriving prepared, with a list of possible questions. Not showing up or canceling at the last minute is unacceptable. Missing an experience is considered an unexcused absence. Please refer to your school's attendance policy for further clarification.
I agree to follow any COVID guidelines that my work experience site may require for in-person experiences.
I will wear suitable business attire (i.e. business casual- dress pants, dress shirt. No jeans or t-shirts).
I will keep my phone off during my experience.
I will actively participate and ask questions.
I will complete the evaluation at the conclusion of the experience.
I will send a “thank you” note to the professional within 48 hours after the experience by either email or regular mail.

By checking "Yes" you are acknowledging receipt and understanding of the above guidelines and agree to follow them. *
Please list any restrictions or accommodations that you may need, including ADA accommodations. Also, include any additional information we may need to know that is not included on the application.
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