PARENT / GUARDIAN PERMISSION I, , the parent/guardian of , give permission for him/her to participate in the REC Program. I have read and understand the rules, regulations, and structure of the Program. I have met with the MCPRD Recreation Center representative to discuss my child’s participation. I understand that the people who serve as mentors in the REC Program are employees of MCPRD. I understand that my child will be scheduled to work a specific agreed upon work schedule at an identified recreation center. There will not be any additional contacts between the mentor and my child. I reserve the right to withdraw my child from the program at any time. As parent/guardian, I authorize MCPRD to conduct a drug test for pre-employment. Parent/Guardian Signature: Date: QUESTIONNAIRE (If not typing, please attach additional sheets for the below questions) Why do you want to participate in this program? Are you currently pursuing your high school diploma or GED? School? List your extracurricular activities or any organizations with which you are currently involved: Are there any Agriculture/Horticulture Programs offered at the school you are attending, or the education program you are currently in? (Preference will be given to those applicants who attend schools that do not offer these opportunities). Please list any related programs offered or simply put none if there are not any: ________ How will this program compliment your future education and career goals? ________
PARENT / GUARDIAN PERMISSION I, , the parent/guardian of , give permission for him/her to participate in the REC Program. I have read and understand the rules, regulations, and structure of the Program. I have met with the MCPRD Recreation Center representative to discuss my child’s participation. I understand that the people who serve as mentors in the REC Program are employees of MCPRD. I understand that my child will be scheduled to work a specific agreed upon work schedule at an identified recreation center. There will not be any additional contacts between the mentor and my child. I reserve the right to withdraw my child from the program at any time. As parent/guardian, I authorize MCPRD to conduct a drug test for pre-employment. Parent/Guardian Signature: Date: QUESTIONNAIRE (If not typing, please attach additional sheets for the below questions) Why do you want to participate in this program? Are you currently pursuing your high school diploma or GED? School? List your extracurricular activities or any organizations with which you are currently involved: Are there any Agriculture/Horticulture Programs offered at the school you are attending, or the education program you are currently in? (Preference will be given to those applicants who attend schools that do not offer these opportunities). Please list any related programs offered or simply put none if there are not any: ________ How will this program compliment your future education and career goals? ________
b_a_a_r_n_application.docx