Shadow a Crusader

STUDENT INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Current Grade REQUIRED Please fill out this field.

Interested in Grade REQUIRED Please fill out this field.

Current School REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field.

How did you hear about Bishop Canevin High School? REQUIRED Please fill out this field.

Please select your shadow dates below. We will do our best to accommodate your first choice, however space is limited so we may need to select your back-up date.

Preferred Date REQUIRED Please fill out this field.

Backup Date REQUIRED Please fill out this field.

Do you know someone at Bishop Canevin who you would like to Shadow? If not, we will match you with a BC student who has similar interests! REQUIRED Yes No Please fill out this field.

If yes, please provide the student's full name: Please enter valid data.

What are some additional academic, athletic, or extracurricular interests? REQUIRED Please fill out this field.

PARENT/ GUARDIAN INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Relationship to Student Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Street Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Would you like to arrive 30 minutes early (at 1:15 PM) to tour the school? REQUIRED Yes No, I would like to schedule a tour for another date and time. No, I would not like to schedule a tour. Please fill out this field.

Additional notes or questions

Bishop Canevin High School

Pittsburgh, PA

Shadow a Crusader

Contact Us

Shadow Day Request Form