Prospective Student

SAMPLE 6.5 – PARENTAL CONSENT FORM

 

Parent’s/Guardian’s Name:________________________________________________________________ Telephone: (Residence)______________________________________________________________

 

 

Address:____________________________________________________________________________________ Telephone: (Business)_______________________________________________________________

 

 

Student’s Name:____________________________________________________________________________ School:________________________________________________________________________________

 

 

I hereby consent to the above-named student being placed in a registered work site for the purpose of work experience.

 

I understand that:

• the school or the board shall not be held liable or responsible for the student’s transportation to and from the workplace

• there may be no remuneration

• work and examinations missed in other classes must be completed

 

The student will be expected to:

• be prompt and regular in attendance at work

• conform to company rules and regulations

• accept direction and assessments from authorized supervising personnel

 

The student may be withdrawn from a work site or work station at the request of the employer, by notice to the school off-campus coordinator.

 

 

 

 

Signature:_________________________________________________________________________________ Date:____________________________________________________________________________________

 

 

http://www.education.alberta.ca/media/616821/offcampus.pdf     pg.58