What is a Job Shadow? - Marian High School

Job Shadow Agreement
(Return this form to your religion teacher.)
This form must be turned into your religion teacher on or before November 4.
( If you change your shadow site, a new form must be submitted. Please see
your religion teacher for a new form.)
Name_____________________________________________ Date of job shadow ________________
Career Area of Interest________________________________________________________________
Please provide the name, address and phone number of your mentor and jobsite:
Company Name: ___________________________________________
Name of Mentor: ___________________________________________
Position or job: _____________________________________________
Address: __________________________________________________
City/State/Zip: _____________________________________________
Phone: (_____) ____________________________________________
E-Mail: ___________________________________________________
Parent/Guardian Agreement:
I, ____________________________, parent/guardian of ____________________ give permission for my
daughter to participate in the Marian High School job shadow program. I understand that she will be
responsible for making all arrangements for the job shadow including transportation.
_______________________________ _________________________________
Parent/Guardian Signature
Student Signature
Date: __________________________
Answer the following questions and submit them with this form before you shadow:
1. Give your reasons for choosing this career, person and company to shadow
2. Tell what you know about the company you will be visiting during your shadow.
3. Explain what someone in this field does and why it may suit you in the future.