Sayreville Public Schools
Educating Today’s Learners to Be Tomorrow’s Leaders
Samsel Upper Elementary School Sayreville, New Jersey

(Please complete and return by: Tuesday, April 25, 2023)

“TAKE YOUR CHILD TO WORK DAY” Parent/Guardian Consent Form

	 (Student’s name) has my permission to participate in “Take Your Child to Work Day.” I will make all the necessary arrangements for my child’s activities on April 27, 2023 and will be responsible for the safety and well-being of my child.

Parent of Guardian Signature: 		 Business Name: 		 Occupation: 		 Address: 			 Phone#:	 Job Description: 			

“TAKE YOUR CHILD TO WORK DAY”/ EMPLOYER CONSENT FORM

Dear Employer:

	, a student at Samsel Upper Elementary School, has been given permission by his/her parent to participate in ‘TAKE YOUR CHILD TO WORK DAY.” This activity is in conjunction with the national observation of “Take Our Daughters and Sons to Work Day” on April 27, 2023. This involves a student shadowing his or her parent for a day while taking notes and observing at the work site. This will allow the student to recognize there is a relevance and need for school skills and subjects in the real world of work while expanding the student’s knowledge and empathy for areas of responsibility and challenges his or her parent has on the job. It will also encourage parent involvement in career awareness.

It is necessary to obtain permission to allow the student to spend a day observing his or her parent at work. The visit is not intended to disrupt your employee’s work progress. We hope that through your help, these employees of the future will develop a more realistic awareness of his or her future role and responsibility in the work world. Please sign this form to indicate your willingness to have the above-mentioned student participate in “TAKE YOUR CHILD TO WORK DAY.”

Employer Signature	Position	Phone No.

This completed form should be returned to your child’s homeroom teacher by Tuesday, April 25, 2023.

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“ AF F I R M AT I V E AC T I O N – E Q U AL OP P OR T U N I T Y E M P L O Y E R M / F ”