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‘DuBois Area Hiah School Groundhog Day Job Shadow Permission Form ¢ 425 Orient Avenue Pah DuBois, PA 15801 Phone: (814) 371-8L11Fax: (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 ste of their cholce and il out the Student Section 1 Have Parent/Guardian complete Section 2 © Show foim to Homeroom Teacher by Friday January 27 for preaporoval © Please note: * will not be excused if they have school days, * Students may not visit once. During job shadowing students must: ‘2 Have their job shadow supervisor fil out the Job Shadowing Supervisor Section 3 ‘2 Complete the supervisor interview section onthe back ‘After job shadowing students must: ‘9 ‘Scan the completed form to their Student Drive when forms are returned to you and save your original - NO COPIES WILL BE KEPT BY SCHOOL STAFF 41:Student Section. ‘Student's Name: aeleay Segy Grade:_ (2 Job Shadow Career: Lyx!epae ret Business Name: [27hins c Supervisor: Drug los Saggi Phone: (S/4 ) 5 71 Date of Job Shadow: _ February 2, 2017 Time of excusal;_7:45 am_Time of return: _2:35 pm_ 2: Parent/Guardian Section | lve permission for my daughter/son tb be excused for the above job shadowing experience. Parent's Sianature’—_/26° 4) Primary Phone: 81Y-3H-CBP9 Supervisor Interview 1, How dd you becomg interested in this ek? Grew ip i trtly businescp 5 42, What sa typical workday ike? Go ire % mabe Supe everything is piper, help out Ppeeded 3. What are your job duties? Make Sune monagers Perm jobs te stand db 4, Whats che best edcational preparation fr this fleld? Do you recommenda certain institution? Hospital ty , business. marge wer 5, What sls ae needed in this eld and which one can/shou I Fcus ona his pont in my eeaton? Grmenbatio, tiaarce 6, a oi rye rc inti Ga? Ye abit, trie 1 excell nr eee eee cone yor ob Piscine) pliwnarsiatenlohec a Care 1. Whatis Jour ave bet eho our job? Te ewcyday chaleme 9 ae titi lvl va yeu wom i deh Gov + resinchores, every Pring maa 10, Whats he fare jo owe? 32 bralel, L hme fp weoy~ shades 11, What pe adydcsnent oppo ar avaiable a hin Gld> archon ted 12. Do you know of comparable jb es that {shuld be exploring in this Gell? Denector of Operefiore 13 Wh ronal pr Spin sha ow stn i el? 5 4 What else shoul I now inorder to make an informed decision about going into this eld? Havel ore, Hale hess, remaie cqlr- 24.2017 08:46 AK Grace a1as726s19 pace. 1/2 Groundhog Day Job Shadow Permission Form 428 Orlent Avenue Grourthop DuBois, PA 15801 YY Pe) SCsuthas (14 3.8 si Students wishing to engage ina Job shadowing experience need to complet the following items, Before job shadowing students must: Contact the job shadow site of theit choice and fil out the Student Section 4 Have Perent/Guardian complete Section 2 once, During job shadowing students must: 12 Have thelr job shadow supervisor fil out the Job Shadowing Supervisor Section 3 13. Complete the supervisor Interview section on the back After Jab shadowing students must: © Scan the completed form to thelr Student Drve when forms are returned to you and save your original ~ NO COPIES WILL BE KEPT BY SCHOOL STAFF Ai Student Section. a 5 ‘Student's Name: _ =o bey <4. 2 seb shadow Coreen, Fivaecse Adlason pusiness Name: divard Sones - Supervisor: 10m Lunsky phoner(S40) Y25- S366 Date of Job Shadow: _February 2.2017 Time of excusal: 7:45 ann_ Time of return: 2:35 om_ Parent/Guardian Section | glve permission for my dguchter/son to be excused for the above job shadowing { ia Ze DaeT7 nce. 's y_phaet fang, Date:_4 Z Parent's Sionature: TO Primary Phone i Feb.24.2017 08:46 AM Grace siea7iesi9 PAGE. 2/ 2 To be completed at the job shadow site by Student Supervisor Interview 1, How di you become interested in thi field? 1S, Sorted investing, loved ys Gawhed typical worlay ike? be ohend ‘talon 00, meet W/ehien'®, dere oreude 0 Oe GRA Secours. da Pans ous weet Fira ia goal ‘What i the beat ed tc rn eB De recomend a certain institution? Calle LOU Major om Prarece “heen a ences a ‘Wat sa ar eed in hs fila whieh on canal Kuo alee Serer erty commu cater, Personbek 6 What persona ates do you el are ens fr succes in hia eli? gored, bind, breadle, trust point in my education? worth y 1 eh have oud that Bete pepe ou your obt ad hoger, ch Shay real « 10. Whitin the ftare job took? huge, everywre teeds Financial rele 1 Wh pe ofan opie ace vail i tl | | canes ott yout contin nth ld eit thn? ‘roeral, welseel, eH plot cooper 23 Doyou know of compares th shouldbe exploring in hi el? p. Account irg, bud holt more comendey tay Bok re! 1, What professional journals or organizations abould {know aboot in thin yep 70048 oe veal business WSS, Rovtorrs Baltett jowns| 14, What elo should I kaow in order to make an informed decision about goa ito tis fla? LY wes eae preryart vould o it Fed... Rr bok & years

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