‘Job Shadowing Permission Form 425 Onent Avenue Duos, PA. 15801 Prone: (814) 37LSUIL Fax: (819) 371-928 Students wishing to engage in a job shadowing experience need to complete the following items. fore job shadowing students must: Contact the job shadow site of their choice and fil out the Student Section, Section 1 2 Have their parent/guardian complete Section 2 2 Take the form to the attendance office for notification and approval, complete Section 3 © Please note: ‘© Students will only be excused to visit 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 their job shadow supervisor fill 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 this record, copies are not kept at the school A. Student Section ‘Student's Name: _ [sev =; Grade: Job Shadow Career: _¢ nora. cgay 2 Erie C 4 Supervisor: faye Lundgren Phone: (201) 371 £369 Date of Job Shadow: Jan 3), 1016 Time of excusal: Date: ve Mo Arrival ees Departure Time: _ VAS ‘Slanature of Supervisor: ee i i Continued on Back1. Would you be willing to participate as a ob-shadowing supervisor far other Yes jes, do you have a business card and/or any other information that we could add to our job wing directory? 1 Yes 2 No 3. What are the most important skills a student needs to obtain before applying for a job in your fick? Leader Ship Perience. 4 Is there anything that we can do to make this experience more effective or beneficial? Np To be completed at the job shadow site by Student Dr. Lundgren 11 very busy 2 abnpt in ansver ‘Supervisor Interview 1. How did you become interested in this fell? Ng Pather was ot Surgeon avery $10 nes; the amank LF set rN on 0" ake eiFRiwlty 3. What are yourjob duties? rosy ncvriay, im HE, OR. clurge oF O.R, and baienty bribery ead * physicals ; follow-ups; ete, il pepe forthe uP ye econ ween ston, School wth loss fF choying, fecemmmas righer slay Suneul 2 Whats a typical workday like? 9 med 5. What skills are needed in this fekd and which one can/shond focus on at this point in my education? Ta high School, quality ove avandaty 6 smpurteds leadership — encl 6. Stcrbutes do you fel are essential for sucess in is field helt sack Dele eadier, viltllgart, Setereemed, Hare ~worlued a Waseca 7 What experiences have yout had that better prepared you for your job? : He made the mur tor oP hy aduadua wth stydyas. & What's your frvorite spect abuat your job? lpiny peeple, Neal fam vaceng eulmnts 9. What are some difficulties! and what motivates you to continue in this field despite them? Soc \ hae oe 4 orl physically clrenaag, bt the outcome J. Whats the fture job outtonle 1? : - oe J" Gseereg pore sepreve) i etertt ig 11 What types of advancement opportunities are available in this field? 7 pecwalteclion, others mor rel Do you know of comparable job titles that I should pe exploring in this field? oer Oks eel srecalues 1 What professional journals of or Thnow about in this field? Amerscea (liege of Surgeons What else should Fhnow it order to make an informed decision a Overall, cegyints & lot oP effort zations show wat going inte this felt?