Employer
Information
Sheet

Career Academy
 

Thank you for your participation in a teacher job shadow experience.  Please fill in the information and return to:
 
 
 
Your Name:  ____________________________
 
Title:  _______________________
 
Phone/FAX:  ____________________________
 
Job Shadow Date:  ____________
 
Contact Person:  _________________________ Position:  ____________________
Phone:  __________________

Business Name:  ______________________________________________________

Address:  ____________________________________________________________
 

Lunch:  (Please select one:)
         ___  Employer will provide lunch
         ___  Teacher purchases lunch
         ___  Teacher brings lunch

Comments:
 
 

Proper Attire:
 

Directions to Worksite: