Perry High School

PERRY Mentorship Program

Kathryn Steele/PMP Advisor

3737 13th Street S.W.

Massillon, OH  44646

(330) 478-6163

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PERRY LOCAL SCHOOLS

MENTORSHIP PROGRAM

RELEASE OF LIABILITIES

 

I agree to allow my child ___________________________________ to participate in the Perry Mentorship Program and shadow a mentor in his or her chosen field(s) of

___________________________________________________.

            I fully understand that my child would spend a minimum of 20 hours with the mentor in the semester course and a minimum of 40 hours in the full-year course with the mentor at the mentor’s place of work.  These hours must be accomplished outside of the regular school day, except with the special permission of the principal and advisor.  Furthermore, my child will be responsible for his/her own transportation to and from the mentor’s work place and neither the Perry Local School District or the company/organization involved will be held responsible for any liabilities.  I also understand that the 1/4 or 1/2 elective credit hour toward graduation will be earned by the student upon completion of the program requirements.

 

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Parent/Guardian’s Signature                                           Date