YA Parent Guardian Support

Student Name*

First NameLast Name
High School *
Parent Guardian Information

Your student has applied to the Youth Apprenticeship Program and needs your support!
Your Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Transportation

Transportation is the responsibility of the parent. Students may need to commute to a position outside their community or to a required class at Madison College or DCSC evening class.
DCSC Youth Apprenticeship can assist students with some transportation NEEDS. (bus passes, DL assistance). Do you have Transportation needs?*

NoYes, Please list/explain below
Transportation needs?
Do you foresee any limitations pertaining to location (i.e., downtown Madison)? Please mark one. If yes please state driving limitations.*

NOYES
Driving Limitations?
Parent Statement of Support
Why would your daughter/son be a good candidate for the Youth Apprenticeship program and how are you willing to support your child's involvement in the program?*
Release

By signing below, the Parent/Guardian and the Employer / Volunteer Coordinator agree to indemnify and release Dane County School Consortium, its elected officials and/or its employees from any and all liability, and any and all damages and/or injuries to the student’s person or property as a result of participating in this program.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Parent Guardian Information