Job Shadow
Job Shadow Form
Student Name: ________________________
Planned Job Shadow Date:_______________
Please fill out this paper (except for the job shadow supervisor verification) and bring it back to counselor at least 3 days PRIOR to your shadow.
Hour Homework for Day of Visitation Teacher Signature
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For Parent:
I understand that my child will be doing a job shadow, will provide their own transportation, and will have an excused absence on that day.
___________________ Signature
For Student:
I understand that it is my responsibility to get my homework and needed signatures. I will show up promptly at the time of my shadow.
__________________ Signature
For Job Shadow Supervisor:
I
verify that the above named student attended a Job Shadow on this
date _________________. I can be reached at ____________ if
further
verification is
needed.
__________________ Printed Name
__________________ Signature
Please bring this paper back to counselor when you return to school.

