What Will You Become?
Iowa Western Community College

Student Request Form

Eligibility & Age:  High School Job Shadows are open to 10th-12th grade students in Cass, Fremont, Harrison, Mills, Page, Pottawattamie, and Shelby counties in Iowa. 

Time Commitment: Job shadows are typically 1-4 hours.

Job Shadow Checklist: Prior to submitting the Student Request Form, please read through the Job Shadow Checklist.  

Deadline Dates: Please note the following deadline dates for 2017-2018 Job Shadows: 

  • Fall 2017 Job Shadows: Applications are due October 6, 2017
  • Spring 2018 Job Shadows: Applications are due February 9, 2018

Please provide the name and title of the school representative who we can contact to approve your job shadow.  This can be a teacher, counselor, principal, etc.  

Please select two career clusters and jobs that interest you.  Please note that job shadows in some career clusters/job areas are limited (Ex: health science and law enforcement).  

  1. I have read and understand the Job Shadow Guidelines & Checklist.
  2. I understand that a Participation and Media Release Form is required for all job shadows and that a placement will not be made until this form is signed and returned.  This form will be emailed to students immediately following job shadow application.  All forms must be completed by a parent or guardian and returned to SIWC prior to job shadow.  Forms can be returned via the instructions on the form.
  3. I understand that Fall job shadows will typically take place mid-October-early December.  Spring job shadows will typically take place mid-February-early May.  Job shadows will be confirmed as soon as possible, however, some placements will take longer than others. 
  4. I understand that some businesses may have additional application and requirements.  Additionally, some businesses may require that I contact them directly to set-up the date & time of job shadow.
  5. I understand that transportation to and from the activity will be my responsibility.
  6. I understand that a failure to show up for a job shadow and/or properly notify the host may result in disqualification for future job shadows.
  7. I agree to complete a post job shadow evaluation and send a thank you note to my host.