Consent Form - Project


Parent/Guardian Consent Form


Your son or daughter has been invited to attend a job shadowing experience at ( employer). He or she will be assigned to an employee, who will lead them through the various departments of the company. They will discuss a typical work day and explore different aspects of working in the industry. They will then join their classmates, other area students, teachers, and business employees to discuss what they observed and what they learned. Transportation will be provided by 


Parent/Guardian Consent Form

Your son or daughter has been invited to attend a job shadowing experience at ( employer). He or she will be assigned to an employee, who will lead them through the various departments of the company. They will discuss a typical work day and explore different aspects of working in the industry. They will then join their classmates, other area students, teachers, and business employees to discuss what they observed and what they learned. Transportation will be provided by (explain).

Permission to participate in job shadowing

My child ______________________________________, may participate in a job shadowing experience which will take place at _____________________(business name) at _____________________(city/state) between the hours of _____________AM and __________PM.

Permission to Travel

I understand that my son/daughter _____________________________, will travel to the workplace under the supervision of school staff.

Photo Release

I grant the employer and school permission to photograph my son/daughter for promotional and educational purposes. Yes____________________ No __________________________

Medical Authorization

Should it be necessary for my child to have medical treatment while participating in the job shadowing program, I hereby give the school district personnel permission to use their best judgment in obtaining medical service for my child, and I give permission to the physician selected by the school district personnel to render whatever medical treatment he or she deems necessary and appropriate. Permission is also granted to release necessary emergency contact/medical history to the attending physician, or to the business, if needed.

Student's name:

Date of Birth:


Address:


City, ZIP


Home phone:


Daytime phone contact information for parent(s) or guardian:


Contact other than parent/guardian:


Relation to student:


Phone:


Family Doctor:

© Thomas Wilson 2016