Job Shadowing Program
Host Employer Enrollment Form
The HempsteadWorks Job Shadowing Program offers youth participants the opportunity to explore career paths, gain hands-on experience, and observe the skills of professionals in their field of interest. Employers interested in participating in the program can register by completing the following form.
Contact Information
Business Information
Availability
Please provide details about your availability to host youth participants for job shadowing (up to 20 hours per participant).
Preferred Days for Job Shadowing (Check all that apply):
Preferred Time of Day (Check all that apply):
How many total hours can the job shadowing be (max is 20 hours per participant)?
How many participants can you host?
Would you be willing to host multiple participants at once?
If yes, would you prefer to host the participants:
Job Roles and Responsibilities
Please describe the tasks or roles the youth participants would observe or participate in during the job shadowing experience:
Workplace Requirements
Please indicate if there are any specific requirements or restrictions for youth participants at your worksite:
Minimum Age Requirement:
Background check required:
Dress Code/Uniform Required:
Prior to hosting a job shadowing experience, I would like to arrange a casual meet-and-greet with the participant(s)
Host Employer Expectations and Agreements
By participating in this program, you acknowledge the following:
Please sign below indicating you have read the above information
Host Employer Representative
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