Shadow Day Application

Student Shadow Day

student information

Full Name*

Grade Level (for current school year)*

Current School Name*

Town of Residence*

Student Cell Phone Number (if applicable)

Student Email (if applicable)

Primary Parent/Guardian Name*

Primary Parent/Guardian Phone Number*

Primary Parent/Guardian Email*

Emergency Contact Person Name and Phone Number (other than primary parent/guardian)

application

What academic subjects or areas of study are you most interested in?*

Are there any specific courses or departments that you would like to explore during your shadow day?*

What extracurricular activities (sports, clubs, arts, etc.) are you interested in at Pinkerton Academy?*

Why are you interested in spending a day shadowing a student at Pinkerton Academy?*

What do you hope to learn or experience during your shadow day?*

MEDICAL NOTICE

Are there any medical concerns that you may have that would require us to be aware of while you are on campus?*

This would include dietary restrictions, allergies, diabetes, seizures.

If yes, please briefly explain.

LUNCH

Shadow day guests are given a complimentary lunch. We offer several choices for lunch each day including our daily entree, hot sandwiches, deli and grill items, a variety of salads, and many other nutritious options. We also offer plenty of fresh and cooked vegetables, fresh and chilled fruit, low fat milk, and juice to make your meal a combo. You can find our monthly menu at the bottom of this page.

If you prefer not to have lunch from our cafeteria, you're welcome to bring your own packed lunch.

Will you be having complimentary lunch from our cafeteria, or will you be bringing your own?*Complimentary lunchPacked home lunch

PREFERRED DATE(S)

What date would you prefer for a shadow day? (Please allow up to 7 days for coordination)*

Please choose an alternative date (Please allow up to 7 days for coordination)

Shadow day host

Please note that if you have a host in mind, this is a request, and all shadow day hosts must meet eligibility requirements and receive internal approval from administration beforehand. You will be notified if your requested host meets or does not meet the eligibility requirements.

Name of Preferred Shadow Day Host (if applicable)

If you do not have a host in mind, the admissions team will match you with someone with similar interests.

Admissions