Job Shadowing | Host Application

Host Application

Please provide responses as appropriate on this form. Once your application is received, a staff member from the College will contact you with more details including providing you with the institutional agreement for your review and a copy of the Host Guide.

Host Information

Business Name*

Contact Name*

Contact Title*

Your affiliation to Washington College:

WC Alumni

Parent/Grandparent

WC Associate/Affiliate

Street*

City*

State*

Zip*

Business Contact Phone*

Business Fax

Email*