Job Shadow Program Application - Week of January 7 - 11, 2013

Thank you for your interest in becoming a career mentor for junior year students. The Winter Break Job Shadow Program is designed to give junior year students the unique opportunity of an up close look at the world of work in order to gain a better understanding of an occupation or industry while they are home on winter break. Alumni that participate in this program allow students to see firsthand how the skills learned in the classroom relate to the workplace while building a network of alumni contacts in that field.

Instructions: Below are a series of questions about your career and potential availability. Please fill the form out completely. Completion of the form is not a guarantee that a student will be placed with you this year. Matches will be based on student enrollment by region and career interest. A portion of your responses will be listed in our Alumni Profile Book for the students to review. It is important to be as descriptive as possible. You will be notified in mid-November if there is a match. If you have any questions, e-mail Julie Tuozzoli, director Alumni Career Services at jtuozzoli@fairfield.edu or call (203) 254-4000 ext. 3416.

Mentor Information
First Name
Last Name
Class Year
Undergraduate Major
Additional Degree
Preferred Phone
e.g., (203) 254-4000
Preferred E-mail
Best Contact Time
Business Information
Company Name
Job Title
Street Address 1
Street Address 2
City
State
Zip
Company Website
Career Field
Job Shadow Host Availability
I will host a student for:
Dates Available
Job Description (for Alumni Profile book)
Briefly describe position, responsibilites and company
Describe a potential schedule for the job shadow activities
Student Requirements and Preferences
Indicate Preferred School(s)
Preferred Major
Student should have interest in:
Additional Comments or Requests
Security Challenge
code
Type the code exactly
as it appears above:
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