Johnson County Wastewater: Job Shadow Sign-Up Form

Johnson County Wastewater: Job Shadow Sign-Up Form
Please complete the form below and a staff member will be in touch to coordinate a job shadow experience. Job shadows are observational opportunities that are offered in four-hour blocks and may include outdoor activity such as a tour of a wastewater treatment facility. Job shadows are subject to staff availability and may be weather permitting.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
Please be sure you list an email address that you will check during the summer or any other school breaks, if you are a student.
Are you at least 18 years old?*

YesNo
Would this job shadow be part of an educational requirement?*

YesNo
Through which school?*
School Name
What is your area of interest?*

Wastewater Collections (Line Cleaning, Inspection or Repair - Field Work)Wastewater Treatment (Operations Crew)EngineeringWater Quality LabElectrician / HVAC / MechanicalCustomer Service
How did you learn about this job shadow program?*

School counselor or teacherSchool eventJob or career fairSocial mediaJohnson County Wastewater websiteReferred by family or friendsReferred by Johnson County employeeOther
Which job or career fair?*
Job / Career Fair
Which Johnson County employee?*
Johnson County Employee
Should be Empty: