Name of business:         
Type of business:   
Location:   
Your name/Job Title:   
E-mail/telephone:     

1. Are you or anyone in your company or organization a:  (check all that apply)   
        TU alumni?
        current TU Internship employer?  
        current TU student – undergraduate or graduate?
        other affiliation?  If yes, please specify:
       
2. Are you interested in participating in a job-shadowing program for Towson University students? Yes    No

3. How long would you be willing to host a shadow? (check all that apply)
        half a day (up to 4 hours)
        one full day (up to 8 hour)
        2-4 consecutive days
        one week (ex. during spring break)
        one month (ex. during winter break)

4. How many students would you be willing to host at a time? Please indicate the minimum and maximum number.
        minimum
        maximum

5. How frequently would you be willing to host (a) student(s)?  (check all that apply)
        once a year
        twice a year
        three or more times a year

6. As a host, when would be the best time to host (a) student(s)? (check all that apply)
        fall (late August to mid-December)
        minimester (winter break/January)
        spring (late January to mid-May)
        spring break (one week during March)
        summer

7. Have you ever sponsored a job shadowing program/hosted a shadow/student?  Yes    No
    If yes, briefly describe your experience and its success.
   

8. Please offer comments/suggestions that might help us design and implement our program.