Senior Project Job Shadowing

SEMESTER PROJECT JOB SHADOWING St. Pauls High School

Teacher Permission Form

I authorize ______to be excused from my class to participate in a Semester Project Job Shadowing experience on the scheduled date. The following rules apply:

 Student must have all teachers sign permission form for classes to be missed.  Student agrees to be responsible for all makeup work within two class days or receive.  If attendance is a problem, shadowing must be done on student’s own time.

Job Shadowing date: ______Time:______

Location: ______

Teacher Signature Yes No 1st 2nd 3rd 4th

Please give students 3-5 minutes to share their shadowing experience with the class when they return. Thanks for your cooperation!! SEMESTER PROJECT JOB SHADOWING St. Pauls High School

Parent Permission Form

I , ______give permission for my child, (parent or guardian) ______to participate in the Semester Project Job Shadowing experience on the scheduled date. I agree to waive any and all rights to claims against the shadowing site, school personnel, or any personnel of the shadowing sit, if an accident or injury occurs during participation on this program.

Job Shadowing date: ______Time:______

Location and address: ______

REQUIRED HEALTH INSURANCE INFORMATION:

(Insurance Company Name)

______Policy number Name of insured

______Guardian signature date

______Student signature date

SEMESTER PROJECT JOB SHADOWING St. Pauls High School

CONFIRMATION NOTICE

TO THE SHADOWING SITE: This notice confirms the shadowing placement of one our students at your site as indicated below. Thank you for participating in this Semester Project Shadowing Program.

TO THE STUDENT: The shadowing site, contact person and Semester Project mentor must be listed below:

Student Name:______Phone number:______

School Name: St. Pauls High School Phone number: 865-4177

School contact: Angela Ivey, English IV teacher

Shadowing Site: ______

Phone number: ______

Address: ______

Mentor’s name and position: ______

Shadowing date: ______Time:______

Dress Requirements:______

Lunch Provisions: ______

Signature of Mentor: ______

Was the student punctual? Yes No COMMENTS: ______

______

RETURN THIS FORM TO THE ENGLISH TEACHER AFTER JOB SHADOWING.