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DuBois Area High Schoo! Groundhog Day Job Shadow Permission Form Dubas, PA 1001 Pion exe s7tetit rac (61) s7L928 ‘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 1 a Have Parent/Guardian complete Section 2 a 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: Have their job shadow supervisor fill out the Job Shadowing Supervisor Section 5 © Complete the supervisor interview section on the back After job shadowing students must: 2 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 A:Student Section ‘Student's Names A i) | rade: | Job Shadow Career: wrse Maint. dusivess name: DuBois Covrtey C1: Supervisor: _WWAVWe Lilpeck Phone: 9/4 - 3.35 - 9970 ate of Job Shadow: February 2, 2016 Time of excusal: 7:45 am Time of return: 2:35 pm 2:Parent/Guardian Section 1 give permission for my daughter/sop tobe excused for the shove job shadowing experience Parent's Siqnature: _~ rot Lee OU pate:_L3/-Me Primary Phone: 2/4 © ote/- F/P2. ‘Approved job shadow experience, JAN 75 18° day of the sh: The DuBois Area School District would lke Yoehank you for providing our sidents with this job shadow experience you would be wiling to participate ya j-thadow upervsoe for ater student lege «anal the fllowing inormation tothe Job Shalow Day Coordinator, Mea Rosary Pennington at pennington(@ilasd 12 pus First and Last Name Business Name and fob Title Email and Phone Number Please let us know ‘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. How did you become interested in this field? ui i sow 1 bot 2. What sal worly ke? Stafow Gn Find th tase to ko fer dae Cay bay 8. What are your jb dui? SMCS VF Kish ‘What isthe best educational preparation for this field? Do you recommend a certain institution? * What skllsire needed in thig field ahd whicl une can/should | focus on a this point in my educate Want TEAR NOTAS s yguctt WP AAS Pe ne Soil are caential Bsus in thided? =| Comludga of thu baisku ‘What experiences have yo had that better prepared yu fr your job? WI Ws 4 SHU 8. What is Your favorite aspet about your job? ~ LAU AULILY Hit to. Ad 9. What are some dificulties, and what motivates you to continue in this field despite them? Ruut Wuiv, LU Ws 10, What is the future job outlook? Low LAU 1 What types of advancement epportanities are availabe in this fed? Viying VL pad IVS 12 De youlnow of coral tis hat I shold be exploring DAL WOE WALLS AACA 18, What professional journal or organizations should know about in ths fel? WINMMA by ons ui Ce) bsp "4 What ee sould Tow aero alan nme dc ht gngint eis Pe? ) Vd Fb A UK Y 4 Al ligh School Groundhog Day Job Shadow Permission Form : 425 Orient Avenue 7, ag Groundhog DuBois, PA 15801 doh Phone! (614) 371-S113Fo«: (B14) 371-3928 ii,

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