Virtual Shadow Day

1.	Student First Name:*

2.	Student Last Name:*

3.	Grade Level:* Select at least 1 and no more than 1.
	7th    8th

4.	Select Gender:* Select at least 1 and no more than 1.
	Female    Male

5.	Home Address:*

6.	Home Address (if more room is needed):

7.	City/Town:*

8.	State:*

9.	Zip Code:*

10.	Parent/Guardian Name:*

11.	Home Phone Number or Contact Phone Number:*

12.	Contact E-Mail Address:*

13.	Student Date of Birth:*

14.	School currently attending:*

15.	Athletics: Choose one or more of interest for which you would like to receive more information: Select at least 0 and no more than 14.
	Baseball (boys)    Basketball    Bowling    Cheerleaders (girls)    Chess    Dance Team (girls)    Football (boys)    Golf    Soccer    Softball (girls)    Tennis    Track    Volleyball    Wrestling (boys)

16.	Clubs and Organizations: Choose one or more of interest for which you would like to receive more information:
	Art Club    Chess Club    Digital Art    Digital Media    Digital Photography    Drama Club    Eucharistic Ministers    Future Business Leaders of America    Newspaper    Peer Ministry    Photojournalism    Speech & Debate Club    SADD (Students Against Destructive Decisions)    Student Council    Yearbook

17.	If you are interested in participating in a VIRTUAL SHADOW DAY, please select a preferred day of the week below and a preferred timeslot in question #18 below.
	Monday   Tuesday   Wednesday   Thursday   Friday Preferred Day of the Week

18.	Please select your VIRTUAL SHADOW DAY preferred timeslot:
	9 - 9:45 am   10 - 10:45 am   11 - 11:45 am Preferred Timeframe

19.	Please give us any additional information that will help us make your virtual or in-person experience most successful.

Please know that we will do our very best to accommodate your requested date(s) and time(s). Our Director of Admissions, Mrs. Tricia McGleam will receive a copy of your completed form. We will be touching base with you shortly after receipt of your submissions. We thank you for your interest in St. Joseph High School and look forward to connecting with you soon. For immediate questions or concerns, please call us at 708.562.4433 or email [email protected]. Have a wonderful day!