Job Shadowing - Student Planning Form

I, Student First Name* Student Last Name* plan to participate in an on-site job shadowing experience at Business Name* on Date* from Start Time* to End Time* .

The Student agrees to:
o Complete and turn in all required paperwork, thank you note and homework assignments.
o Show honesty, punctuality, courtesy, a cooperative attitude, proper health, grooming habits, professional dress, and a willingness to learn.
o Conform to the rules and regulations of the workplace in addition to the school’s Code of Conduct.
o Knock on closed doors, not chew gum, eat food, or bring friends while shadowing.
o Stay off of cell phone during shadowing visit unless directed to use for shadowing purposes.
o Complete necessary forms promptly and report any problems to the site supervisor and school.
o Notify shadowing site if absent.
o Represent his/her school to the public and have an effect on whether the business will be willing to work with students again.

Parent Name *

First Name Last Name

My cell phone number *

Please enter a valid phone number.

I agree to the following: *

I will complete and turn in all required paperwork, thank you note and homework assignments. I will show honesty, punctuality, courtesy, a cooperative attitude, proper health, grooming habits, professional dress, and a willingness to learn. I will conform to the rules and regulations of the workplace in addition to the school’s Code of Conduct. I will knock on closed doors, not chew gum, eat food, or bring friends while shadowing. I will stay off of my cell phone during shadowing visit unless directed to use for shadowing purposes. I will complete necessary forms promptly and report any problems to the site supervisor and school. I will notify shadowing site if absent. I will represent his/her school to the public and have an effect on whether the business will be willing to work with students again.

Signature *

Clear