Judge Connect 2uame JUDGE CONNECT Tuesday, February 11, 2020 Signature Consent Form ‘Your application is not yet complete Thank you for submitting your information. In order to complete the application process, you must print this form; have it signed by a parent and your principal. After obtaining signatures, either: 1. Hand it in to your school coordinator, 2. Scan it and email it to highschool.coordinator@cookcountyil.gov or 3. Fax it to 312.603.9786 ‘You will not be assigned to work until we receive this signed form. I you cannot print this form now, you can access your signature consent form at any point through the Student Involvement page. (https://cookcountyclerk.com/agency/student-involvement) ISABELLE COWAN - High School Student 1TH WALNUTE AVE null null WILMETTE IL 60091 lama US. Citizen: Yes | will attend & pass training: Yes Birth Date: 07/21/2003 Home Phone: (847) 512-4371 Work Phone: Cell Phone: Email: 20210261 @student.nths.n ‘School Name: NEW TRIER HIGH SCHOOL ‘Teacher's Name: ‘Teacher's Phone: Teacher's Email: High School Student Junior Do you have Yes Year: transportation?: Jam fluent in: Party DEMOCRATIC ‘ntps://eonnectcookcountyclerk.com/#/applicationsuccess ¥‘Student: Principal: Parent: Signature Date Ifyou have questions, please contact Student Program Coordinator Bahati Mwitula at 312.603.1185 or highschool.coordinator@cookcountyil.gov (mailto:highschool. cooridinator@cookcountyil.gov) an Itpsficonnect.cookoounty. (ea