Job Shadow Interest Form

First Name*

Last Name*

Email Address*

Phone Number*

Age*

School Attending (if applicable)

Grade in School (if applicable)

What job or department do you want to learn more about? (Grain, Agronomy, Energy, Feed or Corporate)

Are there any specific tasks or processes you would like to be sure to experience? (If no or unsure, you may leave this box blank)

Are there specific dates and/or times you plan to be available to shadow?

Most Farmers Cooperative locations are typically open 8 am - 5 pm, Monday through Friday, and 8 am - Noon on Saturdays based on seasonal demand. If requesting specific dates or times, please provide this information at least 2 weeks prior to your desired timeline.

What else would you like us to know about you? (Experience, specific career interests, etc.)

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