BRECKSVILLE-BROADVIEW HEIGHTS HIGH SCHOOL by JZaRVc

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									                                                                                     YOUR COPY
             BRECKSVILLE-BROADVIEW HEIGHTS HIGH SCHOOL
          COLLEGE VISITATION/JOB SHADOWING VERIFICATION FORM
                              WEDNESDAY, OCTOBER 12, 2011

Student Name: ________________________________________ HR#_______________

The above named student is participating in (1) a college visitation or (2) a job shadowing
experience. In order to verify his/her participation for our school’s attendance policy, we request
that you complete the following information. We appreciate your help and cooperation in
helping our students in selecting a college and/or career. An official representative of the college
/ person being shadowed should complete the information below and sign.

(1) College: _____________________________ Phone Number: (             )_______________

(2) Job Shadowing: _______________________ Phone Number: (             )_______________

Signature of an official representative of the college / person being shadowed:

Name: _________________________________ Title: ___________________________

This signed form must be returned to attendance by Monday, October 17th. Failure to return
signed form will result in an unexcused absence and a Saturday School.



                                                                               SCHOOL’S COPY


             BRECKSVILLE-BROADVIEW HEIGHTS HIGH SCHOOL
          COLLEGE VISITATION/JOB SHADOWING VERIFICATION FORM
                              WEDNESDAY, OCTOBER 12. 2011

Student Name: ________________________________________ HR#_______________

The above named student is participating in (1) a college visitation or (2) a job shadowing
experience. In order to verify his/her participation for our school’s attendance policy, we request
that you complete the following information. We appreciate your help and cooperation in
helping our students in selecting a college and/or career. An official representative of the college
/ person being shadowed should complete the information below and sign.

(1) College: _____________________________ Phone Number: (             )_______________

(2) Job Shadowing: _______________________ Phone Number: (             )_______________

Signature of an official representative of the college / person being shadowed:

Name: _________________________________ Title: ___________________________

This signed form must be returned to attendance by Monday, October 17th. Failure to return
signed form will result in an unexcused absence and a Saturday School.

								
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