Externship Sponsor Form

Share your knowledge with a current EIU student by hosting an externship.

Have questions? Career Services by calling 217-581-2412.

Name Name First Last
Affiliation:

Affiliation: Alumni Parent Student Employer
How did you hear about the EIU Externship Program?
Please indicate how many students you are willing to host:
If you are willing to host more than 1 student, do you prefer students shadow you on the same day?

If you are willing to host more than 1 student, do you prefer students shadow you on the same day? Same Day Different Days No Preference
Please check the duration of time you would be willing to spend to host student(s):

Please check the duration of time you would be willing to spend to host student(s): Half Day One (1) Day Two (2) Days 3-5 Days Other
Dates available for job shadow:
CAREER INFORMATION
Job Title
Company/Organization Name
Career Field
Industry
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Fax Fax - ### - ### ####
Web Site
JOB SHADOW INFORMATION
Please give a brief description of what the student(s) will learn and observe during the job shadowing:
What majors are most appropriate for this job shadowing opportunity?