Career Exploration Day Form

Student Name:____________________________  YOG:_______  Student No.:__________________

**The student is to return this completed form to the guidance department no later than one day prior to the date of the visit.**

Date of Visit:_____________________________

Name of Contact Person:__________________________________

Phone Number of Contact Person: (____)_____________________

Description of Placement:___________________________________________________________________

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PARENT SIGNATURE:______________________________________

Mr. Heiss Signature:__________________________________________

Classes missed on above date                            Comments                                            Teacher Signature

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Signatures above indicate the teacher's awareness (not necessarily approval) for absence.  A teacher's signature means only that graded work missed may be completed upon student's return.  Lack of signature means that such work may not be completed upon student's return.