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Med Science Job Shadow Requests
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Name:
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Are you a Benefis Employee?
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What period do you have your Health Science Class?
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Who is your teacher?
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What is your age as of right now?
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Do you participate in a school activity that requires you to miss school occasionally? (speech and debate, swimming, basketball, leadership high, etc)
If you do not have any activies, please type "none".
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What is your 1st choice for job shadow placement?
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What is your 2nd choice for job shadow placement?
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What is your 3rd choice for job shadow placement?
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Do you have a specific personal connection/name/location for any of your job shadow placements? 
Please explain who you know, your relationship, and which placement you have the connection.
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