Student Shadow Request - Eastern Christian School

Which campus are you requesting to visit?*

High School (Grades 9-12)
Upper Elementary & Middle School (Grades 4-8)
Elementary School (Grades K-3)

Current Grade*

K
1
2
3

School Year Interested In*

Parent Information

Parent's Name*

First Last

Address*

Street Address City State ZIP Code

Phone (Cell)*

Email*

Home Church*

Student Information

Student's Name*

First Last

Current School*

Subjects of Interest*

This information helps us connect the shadowing student with the ideal host student.

Math
Science
English
Social Studies
Bible
Art
Music

Activities of Interest*

Include extra-curricular activities such as athletics, theater, robotics, student government, etc. This information helps us connect the shadowing student with the ideal host student.

Preferred Date for Shadow Experience*

In order for our team to prepare an ideal visit for your child, please allow 48 hours notice for our office to process your request.

Additional Date for Shadow Experience

Just in case we cannot make your preferred date work.

I first heard about EC through

Internet
Friend
Alumni
Current Family
Other