Oklahoma Women in Higher Education

APPLICATION FOR THE
2025 JOB SHADOW PROGRAM

First Name *

Last Name *

Email *

Office Phone Number (Including area code) *

Cell Phone Number (including area code) *

Institutional/Agency Affiliation (Name of the college/university/agency where you are employed) *

Office Mailing Address *

Current Position *

Years in current position *

Total years employed in higher education *

Degrees Completed Check highest degree earned. *
Choose 1

If other, please list.

Position you are interested in shadowing. You must choose a position which you can realistically achieve the position in the next 5-7 years. Select only one. *
Choose 1

If other, please list.

Please fill in the blank using the following criteria:
1) If you selected Dean, Associate/Assistant Dean, or Chair: Indicate the Department, School or College Type Preference (if applicable) Examples: Department of Computer Science, School of Nursing, College of Business
2) For General Student or Academic Affairs: Indicate the specific area of interest within these career fields

Type of Institution Select the type of university or college in which you are most interested in shadowing. *
Choose 1

Select your Job Shadow availability (March - October) for the 2023 calendar year. (NOTE: All job shadow activities must be completed by October 31, 2023) *
Choose up to 4

March

April

May

June

July

August

September

October

Briefly describe why you want to participate in the Job Shadow Program. *

(Word limit: 500)

Describe the top three goals for your job shadow experience. Please make sure that the goals match your shadow choice. These will be shared with the person you will shadow. *

Upload a current CV or resume. *

By clicking yes, you agree to the requirements of the Job Shadow Program listed below and understand that it is your responsibility to initiate contact with your assigned Job Shadowee to schedule both the in-person and virtual meetings.

At least one in person shadow event and one virtual follow-up meeting. It is the responsibility of the Job Shadower (mentee) to initiate contact with the assigned Job Shadowee (mentor) and schedule all meetings.
Participate in a panel discussion during the Fall 2023 conference to provide insight into lessons learned and feedback to future participants.
Attending a virtual orientation in February 2023.

Yes

2025 Job Shadowing Application