Appendix A pee - een ay ian/ Student Permission. ili [have read the Leter to Students and Families rebting wo the Pride Project and understand dat the saisctory completion ofthe research paper, 10 project hous, prodoct, and presentation are requved to graduate and receive & dlploma fom Pine Lake Preparatory. I abo understand tht the sukdent and bis / her parents are responsible for any damage or injury tothe stent or others during the stents self selected Pre Project hours. aren Guardian Name(s) please prin) LiNA Sovodaynt + MOavio Sovegont, Parent/Guardian Home Phone(,_(C¢N)_TOH= BEB-4OAS ‘Work Phone(s): TOA-17S- OMA (Mother) 704 BBS 4OAZ (Father) ParenuGunrdin Emaiggy: QV OMe HA @ owrent-cow, joke roja@aymoil cows a) . Panning ps pae_Shalie (2° Signature Optional) Hye Date Stodent Signature Dow WAS pae_\\2 {1 Appendix ©‘Mentor Consent Form ‘The role ofthe Mentor to serve as an expert in the ill chosen by the student. By signing this form, the mentor agrees ‘to: allocate time (a minimum of ten bours) to work with the student; provide insight into the training, expectations, and demands ofthe Gell; ensure thatthe sudent is acthely iwoled during shadowing and aot simpy observing I dested, the mentor may provide suggestions, advice, and support regain te development ofa tangible product hat comecis to the reak world requirements ofthe carer, Student Name KOOWWEME 1D Savrodori Project Topis (POW MOC, MentorName Lotny \y)i\Sorn Place of Employment _( traced te 2 Lowey Heed gsmteas Work Address 200 Lowey Blvd (Vivareswite NE DYN Profined Emad_WilsonlnttD4 @ Gpotil, bon Prefeed Phone “JO — lat Aso Cceupaton / Tite / Expertise Related to Topic__ Pavan Wine peut ‘Years ofexperince intopie aea_2U Grends For the protection of myselfand the student, Lagree that we willnot moet alone. [agree to uphold the roke/duts ofthe project mentor to the best of my ability. I ako confm that Tam not related to the student. senorsimtwe —Jytie’ Mata Pll) ~ pete Hlstio Pleat) if z}is™ rove Xo a Date as Ite ‘Student Signature“ > Sw Z7|\%o