ar2017 CGmal-Parenutertor Form
M Gmail Raymond Haigney Il, DDS
Parent/Mentor Form
1 message
kk rasbornik Tue, Sep 12, 2017 at 1:50 PM
To: facerecon’@gmail.com
‘Appendix A
lease si lowing page to your child's Senior Englis smic Partner.
Parent/Guardian/Student Permission and Liability Form
T have read the Letter to Students and Families relating to the Pride Project and understand that the
satisfactory completion of the research paper, 10 project hours, product, and presentation are required to
graduate and receive a diploma from Pine Lake Preparatory. I also understand that the student and his / her
parents are responsible for any damage or injury to the student or others during the student's self-selected
Pride Project hours.
Parent/Guardian Name(s) (please print),
Parent/Guardian Home Phone(s):
Work Phone(s): (Mother) (Father)
Parent/Guardian Email(s):
Parent/Guardian Signature Date
(2 Signature Optional) Date
Student Signature Date
tnipesimalgoogle.com/mal/u0l=28k=2286c7aeas}sver=OH9snhMqLAB.en &viow=piSsearch=inbox&ih=15077370a12b4a1bBsimi=15077370a1... 2st2n017 (Gmail -ParentMentor Form
‘Appendix C
Mentor Consent Form
The role of the Mentor is to serve as an expert in the field chosen by the student. By signing this form, the
mentor agrees to: allocate time (a minimum of ten hours) to work with the student; provide insight into the
training, expectations, and demands of the field; ensure that the student is actively involved during
shadowing and not simply observing. If desired, the mentor may provide suggestions, advice, and support
regarding the development of a tangible product that connects to the real-world requirements of the career.
‘Student Name
Project Topic
Mentor Name Ramos Heresy “prs
Place of Employment _L-