Appendix. A
‘Picase sign and return the following page to vour child's Senior English Academic Partner.
Parent i
Thave 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 ot injury to the student or others during the student’s self-selected Pride Project
hours
ParenGurdian Name(s) (lene print. TIM 4 NOtealie. Hal Woy
Parent/Guardian Home Phone(s): WWW 104-WS 17-1784 Ntalie 2 704-304-009,
Work Phones 101-749-A9A1 _atoten LOX=(0le3~ 100% ___ crater
Parent/Guardian Email(s): tri Nalnallmay 0 lac
Father: timothy . ha waa wart | cov
Parent/Guardian Signature _Y/ bbe MMe Date 4-ap- l y
(2° Signature Optional)
ste Ste we AAUAppendix 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.
mimi WEHe Hill
Project Topic Mecho VOUS
Mentor Name_|OY\Y Eclestern
Place of Employment Soaicke Nocta Awyrica
Work Address | T-B, Byers Cheale Pood Mowusulle, Me
Preferred Email Ht ~USO.« COM
prefered Phone 104 ~4108 -AA4LE
Occupation / Title / Expertise Related to Topic
i i
‘Years of experience in topic area
For the protection of myself and the student, I agree that we will not meet alone. I agree to uphold the
roles/duties ofthe project mentor to the best of my ability. l also confirm that am not related to the student.
Mentor Signature Demy é halon Date Qhofik
Parent sian) [ehald / pte 4-20 -ly
Student Signature Ul Date 4-40-16