Career Exploration Verification 2017
This form is required in order for your exploration experience to count towards day one attendance the 2017 - 2018 school year.
First Name
Your answer
Last Name
Your answer
Grade
Please provide the name of the business or institution exploration was completed.
If exploration was completed at more than one location, please indicate within the additional spaces provided below. Please move on to the next question if experience was only completed at one location.
Your answer
Please provide the name of the business or institution exploration was completed.
Your answer
Please provide the name of the business or institution exploration was completed.
Your answer
Please indicate the date of the exploration below.
If exploration was completed on more than one date, please indicate below. Please move on to the next question if experience was completed on one date.
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Please indicate the date of the exploration below.
MM
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YYYY
Please indicate the date of the exploration below.
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Please provide the name and contact information of any individuals the exploration was completed with below.
Please provide first and last name, title, and phone number at which they can be reached.
Your answer
In one paragraph please summarize your exploration experience below.
Please include who, what, where, when, and why.
Your answer
In one to two paragraphs, please explain how this exploration experience has assisted in determining a future career path.
In your explanation include how this will impact possible course selection while in high school.
Your answer
Has this exploration experience assisted you in learning more about a career or careers you may be interested in?
What industry did your exploration experience take place?
Required
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