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Ms. Dolderer's Job Shadow Requests
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* Indicates required question
Your First Name
*
Your answer
Your Last Name
*
Your answer
Student ID Number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
What is your cell number? (We will text your job shadow reminder with the location address and contact information.)
*
Your answer
What is your e-mail address? (We will email your job shadow information, calendar invite, and feedback survey.)
*
Your answer
What period do you have your Business or Computer Science Class?
*
7 am
1st Period
2nd Period
3rd Period
4th Period
5th Period
6th Period
7th Period
What grade are you in?
*
9th
10th
11th
12th
Identify the 1st Business or Computer Science Career Choice you would like to explore.
*
Your answer
Identify the 2nd Business or Computer Science Career Choice you would like to explore.
*
Your answer
Identify the 3rd Business or Computer Science Career Choice you would like to explore.
*
Your answer
Did you go on a job shadow last year?
*
Yes
No
If yes, please provide the business name or location of your shadow last year.
Your answer
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