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Career Exploration Permission Slip

Avicennas middle school students are going to be participating in Career Exploration Day on
Tuesday, March 24th. This day is part of the curriculum and they will receive a project grade
for their work. As a requirement for Career Exploration Day, students will be spending a
minimum of 3 hours with a professional from the field of the students choice. Parents are
responsible for arranging for drop off and pick up of students. This form must be filled out by a
parent/guardian and the professional with whom the student will be spending time. This form
must be turned in as part of the final project for Career Exploration Day.
---------------------------------- please fill out legibly and use ink----------------------------------------Parent Form:
My student, _____________________________, has permission to participate in Career
student name, printed

Exploration Day. S/he will be shadowing ____________________________, at

professionals name, printed

___________________________________________________________________.
company name & address, printed

_______________________________________________

_______________________

parent signature

date

Professional Form:
I, _______________________________, grant permission for ______________________ to
take
professional name, printed

student name, printed

photos and/or videos during our shadow experience. The best way to reach me for written
correspondence is through ________________________ at
email or USPS

_____________________________________________________.
email address or office address

_______________________________________________

_______________________

professionals signature

date