job shadowing parent/guardian information date: ____________________ dear parents/guardians: job shadowing is an academica


Job Shadowing
Parent/Guardian Information
Date: ____________________
Dear Parents/Guardians:
Job shadowing is an academically motivating educational activity for
students to observe the world of work. These work-based learning
experiences allow students an opportunity to explore a career interest
and connect the skills learned in school to the workplace. This is why
job shadowing is an integral part of Richland County School District
One. Students shall abide by all Richland County School District One
rules, practices, and agreements at all times. Students shall dress in
accordance with the district’s dress code policy or as advised by the
worksite.
There is an inherent risk in participating in community and work-based
learning activities. I, as parent/legal guardian, understand my
son’s/daughter’s part of the job shadowing experience and assume all
risks, hazards, and injuries incidental to such participation and do
hereby waive, release, absolve and agree to hold harmless the
learning/work site and Richland County School District One from any
claim arising out of an injury to my child.
Transportation is NOT provided by Richland County School District One,
but rather by the parent/legal guardian; therefore, Richland County
School District One will not be liable for negligent acts.
Participation in the program is voluntary. The school is not directly
supervising, controlling, or providing the students’ transportation.
Job Shadowing Outline
In order for your son/daughter to participate in Job Shadowing on
__February 5, 2021, you will need to assist with the following:
*
Identify a person and worksite for the job shadowing.
*
Complete the Parent/Guardian Job Shadow Permission Forms and
Business Partner Information Sheet, which are due to Guidance by
_February 2, 2021, Late permission forms may not be accepted.
*
Arrange transportation for your child to and from the job
shadowing worksite.
*
Review with your child appropriate dress and behavior for the
workplace prior to going to the worksite.
*
Remind your child to take and complete the Observation Form on the
day of job shadowing.
*
Be sure your child returns the completed Observation Form on/or
before February 10, 2021 in order for the absence to be EXCUSED.
If the Observation Form is not returned on date: February 10, 2021,
your child’s absence will be marked as UNEXCUSED.
*
If you have any questions, comments, or concerns, please contact
Annestacia Green at _803-738-7575 or the School Counselors Angela
Cooper (803-386-1509) and Trevisha Mickens .
Sincerely,
Angela Cooper
School Counselor
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Work-Based Learning Experience - Job Shadowing
PARENT/GUARDIAN PERMISSION FORM
My son/daughter has permission to participate in job shadowing, a
work-based learning experience.
Student Name:
_________________________________________________________ Grade:
_____________
Name of Business/Worksite:
__________________________________________________________________
Person to be Shadowed Name/Worksite Host:
____________________________________________________
Worksite Email: _________________________________________ Worksite
Phone: ____________________
In Case of Medical Emergency
Parent/Guardian’s Name: ___________________________________ Day Phone:
_______________________
Emergency Contact Person: _______________________________________
Phone: ___________________
Family Physician: _______________________________________________
Phone: ___________________
List Any Medications: ___________________________________________
Allergies: __________________
Other:
___________________________________________________________________________________
Name of Medical Insurance Carrier:
_____________________________________ Phone: ________________
The parent/guardian and student understand that even though these
experiences are non-paid, the student may perform work-related
activities. School personnel may not have visited the worksite, met
the hosts, nor be present when the student is on site. I have read the
Parent/Guardian Information Sheet and understand the responsibilities
and policies involved in the job shadow program.
Student Signature: _________________________________________________
Date: __________________
The undersigned authorizes and directs any medical or surgical care
including anesthesia, laboratory x-rays and other procedures necessary
in the event of emergency medical care of the above named minor during
the work-based learning experience.
I, as parent or legal guardian of the above-named student, hereby
agree to the conditions of participation in the job shadow program.
Parent/Legal Guardian (Please print): _
_______________________________________________________
Parent/Legal Guardian Signature:
___________________________________________ Date: ___________
This form must be submitted by February 2, 2021.
OFFICE USE ONLY: Student LN: __________________________ FN:
___________________________ PP BP OF HF
Forms Submitted: PP=Parent Permission; BP=Business Partner
Information; OF=Observation Form; HF=Host Feedback
BUSINESS PARTNER INFORMATION
Job Shadowing is a short-term work-based learning experience that
introduces a student to a particular job or career by pairing the
student with an employee of a business, industry or agency. The
student follows or “shadows” the employee for a specified time to
better understand the requirements of a particular job or career.
Students will have the opportunity to job shadow an individual in
order to experience the workplace firsthand through the following:
*
Demonstrating the connection between academics and careers,
exciting students to learn by making their class work more
relevant.
*
Building community partnerships between schools and businesses
that enhance the educational experience of all students.
*
Introducing students to the requirements of professions and
industries to help them prepare to join the workforce of the 21st
century.
*
Encouraging an ongoing relationship between young people and
caring adults.
Just a few short hours are all it may take to open a window into the
world of work for America’s young people. It can begin to provide them
with insight into the knowledge and skills they will need to achieve
their dreams. Thank you for considering participation in our job
shadowing activity work-based learning experience.
Student Information
Student Name
Grade
The above name student is approved to participate in Job Shadowing at:
Name of Business/Worksite Business Phone Number
Business/Worksite Street Address City State Zip Code
Name of Person to be Shadowed Worksite Supervisor Email
Worksite Supervisor Name (print) Worksite Supervisor Signature Date
This form must be submitted by ­_February 2, 2021.
Job Shadowing Student Observation Form
PLEASE PRINT
Student Name
Grade
Business Name
Date
Person Shadowed Name
Person Shadowed Title
Number of Employees in Company: (Check One) ______0-49 ______50-499
______500+
Questions for the student to answer:
1.
Describe the department or worksite you visited.
2.
What did you like most and least about the job shadowing
experience?
3.
What types of technology are needed to perform the duties on this
job?
4.
If you wanted to work in this job, what might you do to prepare
for this job in the next five years, both high school and after
graduation?
5.
Based on your observations during the shadowing experience, how
much of the work involves the following areas? Please circle your
response.
*
Math
None
Some
Most
All
*
Science
None
Some
Most
All
*
Reading
None
Some
Most
All
*
Writing
None
Some
Most
All
*
Social Studies
None
Some
Most
All
*
Technology
None
Some
Most
All
*
Physical Education
None
Some
Most
All
Questions for the student to ask the person shadowed.
1.
What recommendations do you have for a student in middle/high
school who is interested in this or a similar position?
2.
What job skills are most important in this career?
3.
What did you learn in middle/high school that helped you the most
on this job?
4.
What do you wish you had studied more of in middle/high school?
5.
Are you in a non-traditional position?
6.
What parts of your job require you to work with someone else or in
teams on your job? Explain.
_______________________________________
____________________________________
Signature of Person Shadowed Job Title of Person Shadowed
_________________________________________
____________________________________
Student Name Student Signature
E-mail this form to your school counselor in the guidance office by
February 10, 2021.
Failure to return this completed form will result in an unexcused
absence.
JOB SHADOW HOST FEEDBACK
Thank you for participating in and assisting with the job shadow
experience. Please help us evaluate the experience by responding to
the following items. The information will be helpful in improving our
program.
Name of Business/Worksite Business Phone Number
Business/Worksite Street Address City State Zip Code
Name of Person Shadowed (print) Email
Student Name
1.
Student arrived on time. YES NO
2.
Student’s attire was appropriate. YES NO
3.
Student participated in activities at the job shadowing site. YES
NO
4.
Student’s behavior was appropriate. YES NO
5.
Did you alter your day to accommodate the student? If yes, how?
6.
What benefit do you feel the student gained from this experience?
7.
What did you enjoy the most about participating in this
experience?
8.
How could this experience be improved?
9.
Would you be willing to participate in this program again? YES NO
10.
Would you, or a representative from your company, be willing to be
placed on a list of available career speakers? YES NO
Please return this form via fax to Dr. Charnice Starks-Ray at
(803)735-3381
or via email [email protected]
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9
We are Richland One, a leader in transforming lives through education,
empowering all students to achieve their potential and dreams.

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