PARENT/GUARDIAN
INITIAL CONSENT FORM
 


Your son or daughter has been invited to attend the Disability Mentoring Day (DMD) event on 
Wednesday, October 18, 2006, nationally hosted by the American Association of People with 
Disabilities (AAPD) and locally coordinated by [Organization Name].  He or she will attend a 
morning session for a large group of students before being assigned to an employee for a one-
on-one mentoring and job shadowing experience.  Mentees will learn about career opportunities, 
typical attitudinal and structural barriers faced by people with disabilities in a particular 
industry, and the types of skills needed to succeed in the working world.  Following the receipt of 
the application and your initial consent, your son or daughter will be assigned to a local 
business, public agency, or non-profit organization.  Additional details will be forthcoming at 
that time. For further information, please contact your son’s/daughter’s Special Education 
Teacher or other school official,__________________________________________________, 
at ___________________. 


PERMISSION  TO PARTICIPATE IN DISABILITY MENTORING DAY

My son/daughter, _________________________________________________, may participate
in the Disability Mentoring Day activities on Wednesday, October 18, 2006, from _:__ AM to 
__:__ PM.

________________________________________             	___________________________
Signature							Date

PRELIMINARY TRANSPORTATION PERMISSION

_____	I understand that I am responsible for making transportation arrangements for my 
son/daughter to the plenary event, and I understand that this may involve my 
son/daughter traveling between different locations during the day in vehicles that may be 
either School District vehicles or business-owned vehicles and may be driven by either 
School District employees or local business people.  I further understand that, in certain 
cases made known to me in advance, employers may escort my son/daughter to job 
shadowing work sites via public transportation and that such arrangements will depend 
on the agency to which he/she is matched.

_____	I will provide transportation for my son/daughter ______________________________ to 
and from the mentoring site on Wednesday, October 18, 2006.  I will also transport 
him/her from the plenary to the particular mentoring organization and then back to the 
afternoon plenary event in accordance with arrangements individually made with that 
organization in advance.

________________________________________             	___________________________
Signature							Date