SRSD Career Experience Survey - Grades 9-12
As part of our district requirements for students to have career experiences across their entire time at SRSD, this form is offered for students to document those experiences. Students should fill out the form completely and accurately. Mr. Herzing will review them and document.
Name *
Your answer
Grade *
Type of Experience *
Career Strand(s) applied
Experience Supervisor (SRSD) *
Date of experience *
MM
/
DD
/
YYYY
Location of experience *
Your answer
Time spent at experience (in hours) *
Your answer
Description of experience *
Describe your experience. What did you do? Who was involved?
Your answer
Reflection on experience *
List two things you learned from this experience. Explain why they were positive or negative.
Your answer
Confirmation of experience - Signature *
Please type your full legal name to confirm that the above information is correct and accurate.
Your answer
Submit
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