Bear for a Day Shadow Request Form
Thank you for your interest in Lawrence Central High School. We are the Bears! Once form has been filled out, someone will be in touch to confirm your student's shadow date and the logistics.
Sign in to Google to save your progress. Learn more
Shadowing Student's First Name *
Shadowing Student's Last Name *
Shadowing Student's Preferred Name *
Shadowing Student's Gender
 *
Shadowing Student's Current Grade (2024-25 School Year) *
Shadowing Student's Current School *
Best Date to Shadow *
Second Best Date to Shadow
 *
End of Day - Student Pick-Up *
Parent/Guardian Fist & Last Name *
Parent/Guardian Preferred Phone
 *
Parent/Guardian Email Address
 *
Parent Address *
Preferred Home Language  *
Would the parent/guardian like to speak with an administrator during the shadowing student's visit?
We have an Q & A session for students/parents at 2:30PM on their shadow date. This is optional for the parent/guardian to attend.
 *
Shadowing Student's Academic Area of Interest (select all that apply) *
Required
Shadowing Student's Extra-Curricular Area of Interest (select all that apply)
Comments/Questions
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MSD of Lawrence Township.

Does this form look suspicious? Report

Google Forms