Viking for a Day Shadow Program
Please select a date listed below. If these do not work for you and your student, please contact the admissions office at 216-481-8414 x285.
Email address *
Which day would you like to shadow? *
Required
Student First Name *
Student Last Name *
Gender *
Current Grade *
Current School *
Birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Student Cell Phone Number *
Parent/Guardian Cell Phone Number *
Home Address *
Apartment or unit number *
City *
State *
Zip Code *
VASJ Mailing List *
Media Opt-Out *
Any additional questions?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Villa Angela - St Joseph High School.