DuBois Area High Schoo! Job Shadowing Permission Form 5 Ore Avenue Duta PA 15001 Phone: (B14) S7UBKIL Fax: (B14) 371-3828 ‘Students wishing to engage ina Job shadowing experience need to complet the following items, Before job shadowing students must: ‘a. Contact the jab shadow site of thelr cholce and il out the Student Section, Section 1 1G. Have thelr parent/guardian complete Section 2 {Take the form to thw allunnlance office for notication and epproval, complete Section 3 ‘0. Please note: "Students will only be excused to vist the same site/career once a year. + Students will not be excused If they have missed 10 or more schoo! days. During job shadowing students mus ‘a. Have thelr Job shadow supervsor fl out the Job Shadow Supervisor, Section 5 {@ Complete the supervisor interview section an the back. ‘After job shadowing students mus ‘2 Scan the completed form to thelr Student Orive for thelr electronic portfolio and save the original copy ‘+ Students are responsible for maintaining this record, copies are not kept atthe school “Job Shadow Career: Prep. Cook Business Nam Slperisor? Wea Nigeebe A phone! “anaes Date of Job Shadow: 5-3 “tle ‘Time of excusals 2: Parent/Guardian Section {jv permission fr my daughte/son to be excused fr the stove Job shadowing experene, Parent's Slanature: “V0. aces Date 3-\e Home Phone: 14-62-74. Work Phone: _ IM = = 74.044 ai Attendance Office: T certify that this student reported thelr pre-approved absence, Attendance Office Stonature: To be completed by Site Supervisor on the day of the shadow ‘5: Job Shadow Supervisor Section: Date: 5 3° Mo — Arrival Time: _ Departure Time: Sianature of Supervisor: “inn enna Continued on BackDuBois Area High School ‘Job Shadowing Permission Form “25 Oren Avene. Davos, PA"15001 Phones Bla) 37-ANiL Fe (14) 371-9928 ‘Students wishing to engage Ina job shadowing experience need to complete the following items. Befora job shadowing students must 12 Contact the job shadow site of their cholce and fil out the Student Section, Section 1 12. Have their parent/guardian complete Section 2 {2 Take te form tothe attencance office for notncation and approval, complete Section 3 © Please note: * Students wil only be excused to vist the same site/career ance a year. + Students will nat be excused if they have missed 10 or more school days. During job shadowing students must: 1a -Have thelr ob shadow supervisor fl out the Job Shadow Supervisor, Section $ 2 Complete the supervisor interview section on the back After job shadowing students must: ‘2 Scan the completed form to thelr Student Drive for thelr electronic portfolio and save the orignal copy * Students are responsible for maintaining ths recor, coples are not kept atthe school Stipervigor: $20.0 Date of Job Shadow: 2: Parent/Guardian Section {ge pemison fr my daughter/son tobe excused forthe above job shadowing experience Parent's Signature: sad) ~ Home Phone: _g)<- HBB “|L4> ___ Work Phone: _Z1 4~ 54 Bi Attendance Office: [ certify that this student reported thelr pre-approved absence. ‘Attendance Office Signature: ‘To be completed by Site Supervisor on the day of the shadow 7 1w Supervisor Section: pate: S\O-Vo anival Time: LOC Departure Time: 30 Slanature of Supervisor: Co. co eee po Continued on Back