Schedule a Shadow Visit Person filling out form *---Parent/GuardianStudentCounselor Student First Name * Student Last Name * Gender *MaleFemale Date of Birth (YYYY-MM-DD) * Grade Applying *---91011 Current School * Parent / Guardian First Name * Parent / Guardian Last Name * Relationship to student named above * Address (Street Address) * Address Line 2 City * State / Province / Region * Postal / Zip Code * Preferred contact number to confirm appointment date * Email * Shadowing Day Preference *---TuesdayWednesdayThursday