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Apprenticeship Work-based Learning Experience

Job Shadowing Work-based Learning Experience

Learn more about the nature of the job and the work environment as well as the education and training required to succeed.

Application

Employer Participation Form

Training Agreement

Observation and Reflection for Students

Evaluation for Employers

Complete this application to serve on the JEM-TV News Team that specializes in reporting on job shadowing experiences.

Step 1 of 7 - Personal Data

Personal Data
Name
First Last
Date of Birth
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Grade
Enter N/A in the space provided if this doesn't apply
School/Organization
Name of Neighborhood or Community
Hobbies
Enter N/A in the space provided if this doesn't apply
Athletic Activities
Enter N/A in the space provided if this doesn't apply

Save and Continue Later

Family Background
I primarily reside with:
- Mother
- Father
- Mother & Father
- Other Guardian
Mother's Full Name
Mother's Occupation
Mother's Phone
Mother's Email
Mother's Residence
If different than above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Father's Full Name
Father's Occupation
Father's Phone
Father's Email
Father's Residence
If different than above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Guardian's Full Name
Guardian's Phone
Guardian's Email
Guardian's Residence
If different than above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Save and Continue Later

Our 2020 Partners In Education

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A Veteran-Led STEAM Entrepreneurship & Skills Development System
for K-12 Youth, Young Adults, STEAM Educators & Lifelong Learners

Serving Families & Communities Since 2008

Job Title	Employer (Name of Company)	Start & End Dates	Reason For Leaving

Period	Subject	Teacher	Room

First Name	Last Name	Subject	Phone	Email

NEXT Steps YEP

CoD Investment Club

The Revolution of STEAM Education

Through Financial Literacy ▪ Blockchain Technology ▪ Entertainment ▪ Entrepreneurship

Apprenticeship Work-based Learning Experience

Step 1 of 7 - Personal Data

Personal Data

Family Background

Work Experience

Education

Career Interests

Writing Sample & Transcript

Certification

Our 2020 Partners In Education

A Veteran-Led STEAM Entrepreneurship & Skills Development System
for K-12 Youth, Young Adults, STEAM Educators & Lifelong Learners

The Revolution of STEAM Education

Through Financial Literacy ▪ Blockchain Technology ▪ Entertainment ▪ Entrepreneurship

Apprenticeship Work-based Learning Experience

Step 1 of 7 - Personal Data

Personal Data

Family Background

Work Experience

Education

Career Interests

Writing Sample & Transcript

Certification

Our 2020 Partners In Education

A Veteran-Led STEAM Entrepreneurship & Skills Development System for K-12 Youth, Young Adults, STEAM Educators & Lifelong Learners

A Veteran-Led STEAM Entrepreneurship & Skills Development System
for K-12 Youth, Young Adults, STEAM Educators & Lifelong Learners