2015 PHS CAREERLINKING ACADEMY

APPLICATION

JUNE 22 – 26, 2015

STUDENT NAME ______

e-mail ______Best Phone # ______

JOB SHADOW INFORMATION

Career Choice #1 ______

Career Choice #2 ______

Do you have any food concerns/issues or allergies? ______

If yes, please explain ______

______

______

______

THIS APPLICATION IS DUE: Friday, April 17, 2015

Please return this completed application and essay

to the Library.

APPLICATION INFORMATION

Name ______Date of Birth ______Age ___ Sex ____

Address ______Shirt Size S M L XL XXL

Best

City ______State ____ Zip Code ______Phone # ______

e-mail address ______

Father’s or Guardian’s Name

______Phone (H) ______(W) ______

Address ______

City ______State ____ Zip Code ______

Mother’s or Guardian’s Name

______Phone (H) ______(W) ______

Address ______

City ______State ____ Zip Code ______

ESSAY

Please provide an essay, (1-2 typed pages) on why you are interested in the CareerLinking Academy for which you are applying. Include personal or work related experiences (volunteer or paid) that may be relevant to the career. Include what you hope to achieve by participating in this program.

After High School, I plan on: ____ College _____ Trade School ____ Military

____ Workforce ___ Unsure

PARENT/GUARDIAN RELEASE FORM: Please Check One

______I give my son/daughter permission to be interviewed and taped for a promotional video highlighting Parkland’s CareerLinking Academy.

______I do not give my son/daughter permission to be interviewed and taped for a promotional video highlighting Parkland’s CareerLinking Academy.

PARENTAL PERMISSION AND EMERGENCY AUTHORIZATION

I hereby approve my son/daughter to enter the CareerLinking Academy. I agree to provide him/her with appropriate professional clothes and transportation to Parkland High School. On the day of the job shadow, I will be responsible for transportation to and from the workplace.

Signature of Parent/Guardian ______Date ______

Student Signature ______Date ______

2015 PHS CAREERLINKING ACADEMY

RECOMMENDATION FORM

ONE FROM A PARKLAND EMPLOYEE AND ONE FROM SOMEONE OUTSIDE OF PARKLAND

Applicant’s Name ______

Please rate the student on the following qualities: (4) Excellent, (3) Good, (2) Fair, (1) Poor

Ability to learn 4 3 2 1

Attendance 4 3 2 1

Attitude 4 3 2 1

Cooperation 4 3 2 1

Communication Skills 4 3 2 1

Classroom Participation 4 3 2 1

Follows Directions 4 3 2 1

Grade / Average 4 3 2 1

Interest in the Career Field 4 3 2 1

Problem Solving Skills 4 3 2 1

Quality of Work 4 3 2 1

Writing Ability 4 3 2 1

Strengths ______

______

______

Weaknesses ______

______

______

______I do recommend this student for the CareerLinking Academy program.

______I do not recommend this student for the CareerLinking Academy program.

Please write any general comments on this student that would impact his/her acceptance into an exploration program ON THE BACK OF THIS SHEET.

Name of Person Recommending ______

Signature ______Date ______

Relationship to Student ______

Please return this form by Friday, April 17, 2015 to:

PHS Library

c/o Parkland High School

2700 N. Cedar Crest Blvd.

Allentown, PA 18104

2015 PHS CAREERLINKING ACADEMY

RECOMMENDATION FORM

ONE FROM A PARKLAND EMPLOYEE AND ONE FROM SOMEONE OUTSIDE OF PARKLAND

Applicant’s Name ______

Please rate the student on the following qualities: (4) Excellent, (3) Good, (2) Fair, (1) Poor

Ability to learn 4 3 2 1

Attendance 4 3 2 1

Attitude 4 3 2 1

Cooperation 4 3 2 1

Communication Skills 4 3 2 1

Classroom Participation 4 3 2 1

Follows Directions 4 3 2 1

Grade / Average 4 3 2 1

Interest in the Career Field 4 3 2 1

Problem Solving Skills 4 3 2 1

Quality of Work 4 3 2 1

Writing Ability 4 3 2 1

Strengths ______

______

______

Weaknesses ______

______

______

______I do recommend this student for the CareerLinking Academy program.

______I do not recommend this student for the CareerLinking Academy program.

Please write any general comments on this student that would impact his/her acceptance into an exploration program ON THE BACK OF THIS SHEET.

Name of Person Recommending ______

Signature ______Date ______

Relationship to Student ______

Please return this form by Friday, April 17, 2015 to:

PHS Library

c/o Parkland High School

2700 N. Cedar Crest Blvd.

Allentown, PA 18104

PRE-TEST

CareerLinking Academy Model Program:

2015 Parkland High School CareerLinking Academy

Please be honest about your knowledge in the areas listed.

Student Name______

Date: ______

Please indicate how strongly you agree or disagree with the following statements. / Strongly Disagree
1 / Disagree
2 / Agree
3 / Strongly Agree
4
I am prepared to make career decisions
I am prepared to make decisions about educational needs for my future career
I am prepared to research and explore employment opportunities
I am prepared to complete a job application
I am prepared to create a resume for myself
I am prepared to go on a job interview

PARKLAND HS CAREERLINKING ACADEMY

CHECKLIST

Use this checklist to make sure that you have completed all application requirements.

_____ 2 page Application w/Attached 1 – 2 page essay

_____ 2 Letters of Recommendation. One from a guidance counselor or teacher and another from

someone outside of school.

_____ Turn in the Pre-Test form.

NOTE: ACCEPTANCE WILL BE ON A FIRST COME, FIRST SERVE BASIS. IF ALL DOCUMENTATION IS NOT TURNED IN, THE STUDENT WILL BE PLACED ON A WAITING LIST UNTIL ALL PAPERWORK IS TURNED IN.

Return all materials to the PHS Library by Friday, April 17, 2015.