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uBois h Sch ‘Job Shadowing Permission Form ‘25 Onert Avenue Due, PA 1SB0 Prone: (814) S71-BLII Fax: (814) 371-3928 Students wishing to engage in a job shadowing experience need to complete the following items, Before job shadowing students must: ‘2. Contact the job shadow site of their choice and fil out the Student Section, Section 1 18. Have their parent/guardian complete Section 2 © Take the form to the attendance office for notification and approval, complete Section 3 © Please note: + Students will only be excused to vst the same site/career once a year. * Students will not be excused if they have missed 10 or more school days. During job shadowing students must: 12 “Have their job shadow supervisor fil out the Job Shadow Supervisor, Section 5 © Complete the supervisor interview section onthe back ‘After job shadowing students must: 12 Scan the completed form to their Student Drive for their electronic portfolio and save the orignal copy * "Students are responsible for maintaining this record, copies are nat kept atthe school Continued on Back 1. Would you be willing to participate asa job-shadowing supervisor for other students? ON 2. Ifyes, do you have a business card and/or any other information that we could add to our job shadowing directory? 1. Yes mM 2 Whar te mt inpatient ihre apping or hin yp li? ag pf Bie Z i ‘+ Is there prying that we can do to maketh experience more fective or benef? TE rel epal ee To be completed at the job shadow site by Student Supervisor Interview 1. How did you hecome inter jim this field? honk alles loot os oly BN as Eee cnet Rr eT ie A it ’ eh dt an ane 3. woe aE cob riny i ad Lido Utes ey Ne on debt rene? Gey temep tiranbs Which fete preparation om HBP be po eerntat ein neti Berek math corres 5. Wasi a fi i Std on na i iin yn? le 6 Wn prsna sn ba te IRR a ce“) aad we a) well with paapte 5 . een AAR AS, ptt oy cite hse tra enka pian t ekderYworked Foe Wha ya or ep dt puro? et apeit wactn and ta thet he works with a °. wa hia a what soa: yoni fi ee epithe? oribimes the. work BE and lien are wrhapiy tusk her Gr 10. Whats the tre job oudooke “eS# Bs Fes ty. “WA 5 ervund te same UL What ee ear wala 12, Do you on SE et shasta be exploring in this field? At Kor weer bulsnegs ©) (metres Fangio 14 Wc peter Matton eens test Ld ag None ‘1 What else should I know in order to make an informed decision about going, into this field? Mort, joe Shadins / Sater nsisp! ania

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