Amy Schroeder, MEd, Career Development Coordinator/Counselor

VOICE – 919.233-4074 Athens Drive High School

FAX - 919. 233-4082 1420 Athens Drive

aschroeder@wcpss.net Raleigh, NC 27606

Individual shadowing application

Name______________________Careers of Interest______________________________

___________________________________-

Address_________________________________________________________________

Phone____________________Hours available to visit mentor______________________

I understand that if I am selected to participate in the individual shadowing program, I am

responsible for my own transportation, and will be responsible for making up all assignments missed.

Student’s signature___________________________Date____________________

Parent/Guardian’s signature________________________Date________________

Please have each of your teachers sign below to indicate that they are aware of your absence for the upcoming event. They will receive a week’s notice:

Class Schedule

Period Class Teacher’s signature of permission

1.

2.

3.

4.

After having obtained the above signatures, please return to Amy Schroeder, CDC

Career Development Coordinator’s Approval_______________________Date__________