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CHS Job Shadow Day Host Form
Thank you for offering to host Cupertino High School students in a job shadow experience.
Your support to our students is deeply appreciated.
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* Indicates required question
Job Shadow is on Monday March 16th, 2020
We only have one day designated for this program.
Host Name
*
Person who will meet with students
Your answer
Host Email
*
Your answer
Host Cell Phone
*
Your answer
Preferred mode of contact
*
Please choose your preferred means of communication
Email
Text
Call
Company Name
*
Your answer
Company Street Address
*
Please provide complete mailing address
Your answer
Host Job Title
*
Your answer
Host Job Description
*
Your answer
Job Category
*
Choose
Arts, Media & Communication
Business
Engineering
Health & Medical
Environment
Animals
Culinary & Personal Services
Government & Legal Service
Education, Science & Research
Other
Description of Job Shadow Day
*
Please explain the Job Shadow day the students will experience. Experiences may include: observation, tour, hands-on, meet others in the company, participate in a discussion, Q&A, etc
Your answer
Job Shadow Start Time
*
Time
:
AM
PM
Job Shadow End Time
*
Time
:
AM
PM
Number of Students to Host
*
How many students would you like to host? Minimum is 2
Your answer
Lunch on Job Shadow Day
*
I will provide and eat lunch with the students
I will have lunch with the students, they should bring bag lunch
I will have lunch with the students, they should be prepared to buy lunch
I will not be able to have lunch with the students
Any age or other restrictions?
*
Your answer
Any Non-Disclosure Agreement Needed?
*
Yes
No
Business Attire
*
Casual/formal/closed shoes/jeans? What's ok?
Your answer
Are you Cupertino High Parent/Guardian?
*
No
Yes
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