Gladden Middle School Mentoring Program

Parent/Guardian Letter of Consent

My child, ___________________________________________ has my permission to participate in the mentoring program at Gladden Middle School. I understand that this program was established to provide an extra, supportive person to help my child succeed in school and life. The mentor is another adult who can help my child to reach academic and personal success.

I understand that my child will meet with his/her mentor once per week at school. Further, I understand that my child will NOT be taken off school grounds. I understand that the mentoring program will be conducted at school, unless I allow otherwise.

I understand that if I choose, I may remove my child from participation in this program at any time and I will be responsible for informing the school of my decision. I understand that it is my responsibility to inform the school of any rules or restrictions regarding my child.

I also agree to allow the school to release my child’s grades, attendance, and behavior information to the assigned mentor to ensure the success of the program. I understand that my child’s mentor has been trained and understands that all information shared is strictly confidential and is not to be shared with anyone else.

If you have any questions or concerns about this program, please contact Kelley-Marie Sierra, Graduation Coach at (706) 695-7448. Please sign and return as soon as possible.


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Signature of Parent or Guardian

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Date