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DuBois Area High School Job Shadowing Permission Form “235 Oren Avenue usa, PA 15801 Phone: (85) S71 BIN» Fast (814) 371-3928 Students wishing to engage in a job shadowing experience need to camplete the following items, Before job shadowing students must: 13 Contact the job shadow ste oftheir choice and fil out the Student Section, Section 1 18 Have their parent/quardian complete Section 2 a. Take the form to the attendance office for netieation and approval, complete Section 3 © 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 mare school days. During job shadowing students must: {2 “Have their 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: {Scan the completed form to their Student Drive for their electronic portfolio and save the original copy ‘+ Students are responsible for maintaining this record, coples are not kept atthe school 2:.Parent/Guardian Section [give permission for my deyghter/son to be excused forthe above job shadowing experience Parent's Signature: \4g2oreco ate, YT Home Prone: _ (TF Sap- 2 177 wort Prone: G1 7i- Delf 3: Attendance office: certify that this student reported thle pre-approved absence. Attendance Office Sianature: = 1. Would you be willing to participate asa job-shadowing supervisor for other students? @ ves “No 2, yes, do you have a business card and/or any other information that we could add to our job shadowing dieectory? a Yes & No What te the moe important fills student neds to obtain before plying fo obi your eld? 4 Is there anything date ca do to make this experince more elftve or beneficial? ‘To be completed at the job shadow site by Student ‘Supervisor Interview 1 Ee a5 2 Wat ina tpl workday Fo cela? - Chae ce Ait tory 2. What re Four : eR a geet win (Teal 4 What athe esi pep fortis al? Do ourcommend cen ita? Man 5 Win slave fan ich oes son a hi pit in my eo? am keel stand 6. What personal atte yo ol are exe fr succes in hs el? pugora lige have you had gt be carr i 8. What your favorite a set ee se ease oy wake THe Ore 6. Wnt aresome dae da AG abc oale oes tn deme 1M hone 10, Whats the future job utlook® . bout ok, Gest 14 What peso jpernii te ue hi t from Sales Fo owe 12 Do you know af omparabljb ies fat | shouldbe exploring in thi eld Pew edhearst 13, Wnt profesional orm or onguiatins shoud {now aout in hi ill? R Oe cee 12®. & ee YAN, Vv A kof 114 What else should [know in order to make ant el als sh lg ita et? lar Yon Wife tory ilS/ do yoy Veue. whar (FIGS ral, A Custamee hurhy a

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