JOB SHADOW APPLICATION

							JOB SHADOW APPLICATION

STUDENT NAME:

SPONSOR’S NAME:

ADDRESS WORK:

WORKING HOURS:

SPONSOR”S OCCUPATION:

TRANSPORTATION ARRANGEMENTS TO AND FROM WORK

I am aware of the expectations for students on a job shadowing experience and agree to
follow them.

_______________
(Signature of Student)

PART B TO BE COMPLETED BY PARENT/GUARDIAN (COMPLETE 1 or 2)

   1. I give permission for my son or daughter to participate in the job shadowing
      experience with:

________________________________
(Name of Sponsor)

   2. I plan to take my son or daughter to work with m eon Wednesday, November 5th,
      2008


PART C: TO BE COMPLETED BY SPONSOR (if not attending with parent or
guardian) MUST be 21 years of age or over

I agree to have _____________________________ accompany me to my place of work
on November 5th (complete only if child is not shadowing parent)

____________________________
Signature of Sponsor

RETURN TO HOME ROOM TEACHER PRIOR TO OCTOBER 25