Student Job Shadowing Work Schedule

 The Job Shadowing Work Schedule must be completed before the student begins their job shadow assignment.

Name: ____________________________________Telephone: __________________

Work Schedule
Hours Available: ___________________ Beginning Date: ________________

Days Per Week:
Mon Tues Wed Thurs Fri Sat Sun

Work Hours: From _______ to _______ Authorized Hours Per Day: _______

Lunch Break: _________ Breaktimes: Morning: ______ Afternoon: ______

Note: At least a 30-minute lunch hour must be taken if the student shadows for more than four hours a day.

Name of Company: __________________________Supervisor: __________________

Company Address: __________________________Telephone: __________________