DuBois Hi oo! Groundhog bay Y00 Shadow Permission Form : 425 Orient Avenue Groundhog DuBols, PA 15801 t at Phone (4) sit (64) 71-398 1 sa ‘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 oftheir choice and fill out the Student Section 1 2 Have Parent/Guardian complete Section 2 Show form to Homeroom Teacher by Friday January 27 for preapproval © Please note: = Students will not be excused if they have missed 10 or mor sch (S. = Students may not vi same exact site and career more than once, During job shadowing students must: a Have their job shadow supervisor fill out the Job Shadowing Supervisor Section 3 2 Complete the supervisor interview section on the 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 CoPi oe. 1: Student Section - students Name: EDA\WEC Ras dyey Grade: _\‘2. ~ : SOV Wot vert ion SCYVICE COOVOINCHOY NO Phone: C\> | Date of Job Shadow: __Febllary 2.2017 The of excusal:_7:45 am_Time of return: 2:35 pm_ : Parent, ion |Lalve permission for my daughter/son to be excused for the above job shadowing experience. Parent's Signature: Ses. v4. Date 7 Primary Phone: 12 | TSO. Whe ei renin i el De recone etn nto? oie ve BVA ICR had v To be completed at the job shadow site by Student upervi rview : in 1 laure ee a reing witn aS San te ah fod OW NQF : Oy, | 3 Wat argo nh i ie? FOVNS if w sie etd in hi a Cues Sei U fotuy | es el ANGE AOU sic nt fa ory NSE i | Re WEN eee et Rt eb? tien te a vee erreur | 0 rag CNS ect desi en? N % + ONO cess (Very rave) veh t t fatale on onus are avilable inthis 2 Oy aN Me Oe NON UpeY SCY 00s yo ktow Ot comparable ob tilestha shouldbe exploring in this eld? “on TO) WON NC PVA Ty Cratichie V 13.\ Pe ucla ids should «Row ulin eis tae CC) ey vin AVENCK WLCOMIMCY (x Mv wfc ae orn tis a ginDuBois Area High School Groundhog Day Job Shadow Permission Form {25 ren Avene Dubois, 9X 15801 Prone! (Cia) 27C 838i Fax: (814) 371-3028, ‘Students wishing to engage in a job shadowing experlence need to complete the following items. Before job shadowing students must: Contact the job shadow site oftheir choice and fil out the Student Section 1 a Have Parent/Guardian complete Section 2 Tum in form to History Teacher by Friday, January 22 for preapproval © Please note: + Students will not be excused if they have missed 10 or more school days. Students may not visit the same exact site and career more than once. During job shadowing students must: 12 Have their job shadow supervisor fil out the Job Shadowing Supervisor Section 5 12 Complete the supervisor interview section on the back After job shadowing students must: 12 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 ‘1 Student Section. History Teacher: DPC ){ f ‘Student's Namo: See iain tice STR aay 3ob Shadow Career: ‘Dut ‘Business Name: {7 ‘Supervisor: i _ Phone: F144 = 5 t Dete of Job Shadow: - February 2.2016 Time of excusal: 7:45 am_ Time of return: 2:35 7m 2: Parent a Primary Phone: "ve permission fr my daughter/son to be excused the above ob shadowing experience. Bas patel fai fio S: DAHS Office Section: ‘Approved job shadow experience. be completed ron the day of the shadow 9 Sect Ayal Time: Sf : LO Departure Tine: Phe C Pein 426‘The Dao Area School District would like to thank ox for providing our stents with this ob shadow experience. Ifyou would be willing to participate ns ajeb-shadow supervisor for other stents please mal the following information to the lob Shaiow Day Coordinator, Mrs. Rosary Pennington at First and Last Name Business Name and Job Title Emil and Phone Number Pease let us know if there anything that we can do to make this experience more effective or beneficial? To be completed at the job shadow site by Student Supervisor Interview 1 popes 1 nth folie . Ah Se OOUT EN “Vth colier “NIT ai BA CUNO TOTS, 4 nyy AURV EOI ygie 2 le hi a Se dll sr Rozen conned tsi? BACHMOS OCONEE YCQMIE, NUIT UF sh foes on a this point in my ecaton? WONG! WHET VVIOUS i % ones ‘ocr eyeliner ret it pesonal a rb you el af eben S$ LL ili fe « dark peed soem Betoun pewig o 1 What oxperiees 16 ac ONY MOE Sia SCtuainicy Ol Byatt VOCE SI np POSH. or eee _ avg, © J Jeet wx mtv coco = ale nang land Cape crane ante ecg) ses big u longll Seating, ee in tne ailable in 2 joer f skeet an fata gee oy balla cae cee Nor ag C Gonabt 1F1. Z ¥L a 10, ¢ ei he ea ve Sel dese CULE SCOUN Eee ve vin) 14, What else should [know inte “ry itr ecton abusing im thi el? ne i or ens, +4 nO) POAC OVE GS rs ne