Clio Area High School

JOB SHADOWING EXPERIENCE

TEACHER PERMISSION FORM

__________________________________ will be participating in the Job

Student Name
Shadowing Experience on the date below. Please make arrangements for the
make-up work to be completed per your requirements.

Job Shadow Location:_______________________________

Date: ______________________________

Time: ______________________________

Class Teacher Signature

1. _____________________________ ________________________

2. _____________________________ ________________________

3. _____________________________ ________________________

4. _____________________________ ________________________

5. _____________________________ ________________________

6. _____________________________ ________________________
 Clio Are High School
JOB SHADOWING CONTRACT

If you are unable to fulfill this appointment, please let the coordinator know immediately.

Students Name: __________________________________ Home Phone: _________________

Job Shadowing Placement

Contact Name: _________________________________ Occupation: _____________________

Company Name: _______________________________ Address: ________________________

Company Phone Number: ________________________ Date of Placement: _______________

Arrival Time: __________________________________ Departure Time: _________________

Dress Code: ___________________________________________________________________

Special Instructions: ____________________________________________________________

NOTE: PLEASE REMEMBER THESE IMPORTANT REQUIREMENTS.

PARENTS SHOULD INITIAL TO THE LEFT ON EACH STATEMENT AS THEY GIVE CONSENT:

_______ 1. Make sure that you dress appropriately. If this is a professional placement, make sure that you wear
professional attire.
_______ 2. Please report to the employers business at the designated time. If you are forced to be late or unable to
attend, make sure you call the employer and the school coordinator in advance. Reschedule the
job shadowing experience with the employer and the school coordinator.
_______ 3. Be sure to bring your complete questionnaire with you to the shadowing site. Utilize the employer to
complete the project making sure the employer signs the questionnaire. Finally, submit it to the
school job shadowing coordinator.
_______ 4. Please send a thank you note to the employer within one week of your visit.

HELPFUL HINTS: Remember to use positive body language, be enthusiastic and look interested. Always give the
person you are talking to eye contact.

Parent/Guardians Signature: __________________________________ Auto Insurance: Yes____ No ____

 Clio Area High School
JOB SHADOWING EXPERIENCE
PHOTO/VIDEO RELEASE FORM

I, _____________________________ do hereby authorize the Clio Area High

(Parent or Guardian)
School to use or take photographs/videos of ___________________________
(Name of Student)
for the sole purpose of using such photographs/videos for job shadowing
promotion such as website, brochures, or local media coverage and other such
purposes as may deemed appropriate to benefit the Job Shadowing Program. Such
purposes, however, shall not include any commercial endeavors.

___________________________________________ ___________________
Signature of Parent/Guardian (if under 18 yrs. old) or Signature of Student (If 18 yrs. old) Telephone Number

__________________________________________________________________________________________________________________
Address

_______________________________________________________ ___________________________ ___________________________

City State Zip Code

_______________________________________________________
Date
 Clio Area High School
JOB SHADOWING EXPERIENCE
MEDICAL TREATMENT FORM

Should it be necessary for my son/daughter to have medical treatment while

participating in the Job Shadow, I hereby give the school district and/or work site
personnel permission to use their best judgment in obtaining medical services for
my son/daughter, and I give permission to the physician selected to render
whatever medical treatment he/she deems necessary and appropriate.

_____ Yes ____ No

Permission is also granted to release emergency contact/medical history to the

attending physician, or to work site personnel, if needed.

_____ Yes ____ No

Students Name: _______________________________ Date of Birth: ________

Address: ________________________________City: ____________Zip: _____

Parent/Guardian Name: _____________________Daytime Phone: ___________

Contact (other than parent/guardian): ___________________________________

Phone Number: ____________________ Relationship to student: ____________

Family Doctor: ________________________ Phone Number: _______________

Hospital Preferred: __________________________________________________

Does your son/daughter require any special accommodations due to medical

limitations, allergies, disabilities, dietary constraints, or other restrictions? ______
If yes, please explain: ________________________________________________
__________________________________________________________________
__________________________________________________________________

___________________________ ____________________________
Parent/Guardian Signature
 JOB SHADOWING DRESS REQUIREMENTS
No jeans, No tennis shoes, No sandals
**Clothes must be Neat and Pressed!**
Business: Suit and Tie
Business Casual: Khakis, Blue, or Black slacks, collared shirt
Girls: Remember no low-cut shirts or revealing clothing.
Specific Attire:______________________________________________________
WORKPLACE SUPERVISORS SIGNATURE_______________________________________
 Job Shadowing Placement

Contact Name: _________________________________ Occupation: _____________________

Company Name: _______________________________ Address: ________________________

Company Phone Number: ________________________ Date of Placement: _______________

Arrival Time: __________________________________ Departure Time: _________________

Dress Code: ___________________________________________________________________

Special Instructions: ____________________________________________________________

Clio Area High School

JOB SHADOWING WORKPLACE FEEDBACK SHEET

Student: ________________________ Job Site: ______________________

Date(s) of Job Shadowing: ___________________ Department: _________

Type of work Student Shadowed: __________________________________

______________________________________________________________

1. The student was on time: ___ Yes ___ No

Comment:

2. The student was dressed appropriately. ___ Yes ___ No

Comment:

3. General comments about students behavior:

4. I would be willing to have another job shadow. ___ Yes ___ No

5. I would like to be considered for:

____ Tours ___ Mock Interviews ___ Internships ___ Co-op
___ Career Presentation/Career Fairs ___ Advisory Committee
Workplace Supervisors Signature: __________________________________
Telephone Number: _______________ Best time to contact: ______________
 Clio Area High School
JOB SHADOWING QUESTIONNAIRE

DESCRIPTION

1. Describe the duties and tasks required of a/an

2. Describe your typical work day and that of an entry level employee.

3. What communications, mathematical, technical, interpersonal or other skills

are required.

TRAINING

4. What training or education is needed to enter this career?

5. What high school courses should I take to prepare for this occupation?

6. What do you see as the future outlook and advancement opportunities in this
career?
WORKING CONDITIONS

7. How is your job affected by these working conditions?

-stress level -physical labor -noise level

-work on shifts - work as-team/solo -hazards

-seasonal/part-time -hours/overtime -clothing/tools

BENEFITS

8. What do you see as the benefits of your job?

-paid vacations -insurance -retirement

-continued education -other

WAGES

9. What is the average entry level of you job?

10.How are additional benefits or income earned?

ADVICE

11.What advice would you offer me if I consider this career?

12.What other suggestions do you have that would help me start now to prepare
for a career similar to yours?
 Clio Area High School
JOB SHADOWING EXPERIENCE
STUDENT REFLECTION SHEET

Students Name: ____________________________________________

Business or Organization Job Shadowed: ________________________

Directions: Answer the following reflection questions. You will need to use both
Job Shadowing Questionnaire and the Student Reflection Sheet to complete
your career project.

1. Briefly describe you job shadow site. Include duties and tasks, a typical
work day, and specific skills required.

2. What did you like best about your job shadowing experience?

3. What did you like least about your job shadowing experience?

4. What surprised you most about the experience?

5. Would you consider a career in this field? Why or why not?

6. Now, summarize the answers to the first six questions into a complete,
thoughtful essay as you reflect on your Job Shadowing experience.
 ****SAMPLE ONLY****
DO NOT COPY THIS LETTER Use it as reference for the proper set up.

Todays Date

Business Name
Business Address
City, State, Zip

Dear Mr. Smith,

Thank you so much for allowing me to learn about your profession. I enjoyed
observing you for the day and learning more about your profession. This
experience has helped me make up my mind about my future career.

I really enjoyed (list some things you enjoyed about your experience)
Thank you again for taking the time out of your busy day to help me experience
(list that profession and business) ex. religion at Bethany Methodist.

Sincerely,

Your Name

Make sure you write a Thank you letter to the business and return it to the
career center within one week to be mailed out. This is a sample of how
you should set your letter up. Please write your own content: if you copy
the sample, you will re-do it.