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Student Application for Career Discovery Program /

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Home / Alumni / Career Mentoring / Alumni Job Shadow Day / Student Application to Participate

Alumni /

Students: Sign Up Here for the Career Discovery Program

Student Application for Mentor Program

1. Student First Name *
2. Student Last Name *
3. Student Class Year/Graduation Year *
4. Student Cell Phone Number *
5. I am interested in the following options:
Shadow a Carroll Graduate's Job on Thursday, October 5, 2023 Attend a Career Discovery Speaker Session in a designated classroom during lunch Join the Medical Career Club to learn more about PT, OT, doctors, nurses, etc.
Hold down the "Ctrl" button if you'd like to select more than one option.
6. My preferred career choices are the following:
7. Any other Vocational/Trade/Career Interests not listed above
8. Are you interested in attending college or trade school? If so, what school(s) are you considering?
9. Extracurricular Activities, Sports or Clubs
10. What do you hope to achieve from this experience?
By checking the boxes below, I am providing my electronic signature and agreement.
11. I agree to act in my best behavior & to maintain consistent appropriate conduct in all interactions.
yes no
12. I agree to gain parental consent and turn in my permission slip before I partake in this program.
yes no
13. I understand that I am responsible for my own transportation to these program activities.
yes no
14. I understand that private one-on-one meetings are not encouraged in this program (prefer workplace).
yes no
15. I hereby assume all risks of participating in this program & forfeit any cause of action against it.
yes no
16. I agree that Carroll may use my photograph taken during this program for publicity purposes.
yes no
17. I agree that Carroll may record the speaker series that I attend.
yes no
18. My parent(s) will allow me to participate in a shadow day within the following mileage from Carroll:
0-20 miles 21-40 miles 41-60 miles 61-80 miles not applicable/not interested in Job Shadow Day
19. Parent Email Address *
20. Parent/Legal Guardian Preferred Phone Number *
21. Enter Your Email Address: *

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Need More Information?

Please contact the following if you have any questions:

Mrs. Julie (Hemmert) Weitz '94
Director of Alumni Relations
(937) 253-8188 x339
jweitz@carrollhs.org

Mrs. Julia (LeMaster) Bey '95
Mentoring Committee Chairperson
bey.julia@yahoo.com

Mrs. Melissa Leaman
Advancement Assistant
mleaman@carrollhs.org

Go Here for the Complete List of Alumni Speakers

GO HERE FOR INFORMATION ON JOB SHADOW DAY

Welcome
Alumni Association
Events
Reunions
Hall of Fame Awards
Alumni News
Class Notes
Alumni in the Military
Career Mentoring
Update Contact Information
Alumni Transcript Request
Historical Photos
Small Business Directory

Address 4524 Linden Ave. Dayton OH 45432

Contact 937-253-8188

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