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Dus High School “Job Shadowing Permission Form “25 Oner vera ues, PA 1s801 Prone: (18) 3748411 Fax (814) 3713028 ‘Students wishing to engage ina job shadowing experience need to complete the following items. Before job shadowing students must: {2 Contact the job shadow site oftheir choice and fil out the Student Section, Section 1 Have their parent/guardian complete Section 2 12. Take the form to the attendance office for notification and approval, complete Section 3 © Please nota: 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 school days. During job shadowing students must: ‘2 Have ther Job shadow supervisor fil out the Job Shadow Supervisor, Section 5 (2 Complete the supervisor interview section on the back ‘After job shadowing students must ‘2 Scan the completed form to their Student Drive for their electronic portfolio and save the original copy ‘Students are responsible for maintaining ths record, coples are not kept at the school Parent's Sionature: “AM ALUL YA oA VULD Home Phone: (0 53" Uo 4 wer rome BEE 54.14 ‘3: Attendance office: Tcetify that ths student reported thee pre proved absence, Attendance Office Sionatures ("Na AS? mpleted isor on the day of the shadow Arrival Time: Departure Time: “7 Continued on Back

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