Appendix A ild's Senior Englis rent/Guardian/Student Permission and Liability Form [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 ot injury to the student or others during the student's self-selected Pride Project hours. Parent/Guardian Name(s) (please print) Cree, tere Parent/Guardian Home Phone(s): - UE: Work Phones): TICH- Gle2=|2UY _otother FHM ASS eaten verenvGunrtion Emaits): Cm Conese GSE Comrave. cgrr Mewina TC awe. Conn - Parent! ardian Signature _——— Mead bu {0} (2° Signature Optional) Date Student Signature pate \\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 ofthe field; ensure thatthe 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 Topi Mentor Name Yume Basho Place of Employment Lo MAY USA Work Address 124 Te z Noottsu\\e Ve Zeit Preferred Email_ A AiShea Guava net Preferred Phone 724 DO 21\4 Occupation / Title / Expertise Related to Topic Dic .& Fna.necons Years of experience in topic area } For the protection of myself and the student, I agree that we will not meet alone. 1 agree to uphold the roles/duties of the project mentogio the best of my ability. also confirm that I am not related to the student. pate \\_ Seg \7 owe {1119 Alt Mentor Signature Parent Signature Student Signature U Date