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    127 views2 pages

    Scanned Documents 1

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    © All Rights Reserved
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    DuBois Area High School Groundhog Day Job Shadow Permission Form 425 Orient Avenue DuBois, PA. 15801 Phone: (@14) 371-8112 Faw: (814) 371-3028 <2 ‘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 2 Have Parent/Guardian complete Section 2 9 Turn 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: a Have their job shadow supervisor fil 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 1: Student Section. History Teacher: ic Deere — ‘Student's Name: ii Hayhy Job Shadow Career: _ Gent aeeyn Business Name: NI Supervisor: Evy, _L g Phoned Tt KOT Date 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 filghter/sonyto/be excused for the above job shadowing experience. Z fain pate: “/S, Primary Phone: 7 i Approved job shadow experience. Official Signature: ‘The Dullois Area School District would like to thank you for providing our students with this job x shadow experience. Ifyou would be willing to participate asa job-shadow supervisor for other stulent please ‘email the following information to the Job Shadow Day Coordinator, Mrs. Rosary Pennington at ton@dasd, ist and Last Name Business Name and Job Title Email and Phone Number Please 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 My father, Ral Hamby, was a presentor Supervisor Intervi CRNA 1 How di youdseame dete inthis field? at it WAS whet God Gane : a Job 2 What soe | Ey we? 4 wih abe & Fe. ‘Statiow Tohae {> go to work af 7 AM, ° Day, » widbnsylient rbe 9F eases a Hest, TST by PYF peo. under anesthel

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