Permission Slip Dear Parent or Guardian, Your student would like to make an appointment to meet one-on-one with a Volunteer Coordinator, Mrs. Angie Cardinal, to plan his/her community service hours. The meeting will be at Farmington High School during normal school hours so your student’s normal transportation plans should be sufficient. Mrs. Cardinal currently represents the Farmington Parent-Teacher Association and the Farmington 500 Boys & Girls Club. She has a clear background check on file in accordance with our policies. She may connect your student with other organizations in our community with volunteer opportunities that match with your student’s interests and skills. You will be notified if that is the case. Appointment Information: Student’s Name: ______________________________________________________________________________ Date and Time: _______________________________________________________________________________ Location: ___________________________________________________________________________________ Other information:____________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Should you have an questions before giving permission for this meeting, Mrs. Cardinal can be reached as follows: email: [email protected] phone: (413) 455-5177 postal mail: PO Box 432, Farmington, NH 03835 Save the upper section of this form for your reference. Please return the lower section of this form before the appointment date. —————————————————————Cut here ——————————————-——————

I, __________________________________________________________ give my permission for (print your name) ___________________________________________________ to meet with Mrs. Cardinal one-on-one at (print student’s name) Farmington High School during normal school hours. Parent/Guardian best method of contact (circle one):

email

phone

postal mail

email: ________________________________________________________________________ phone: _______________________________________________________________________ postal mail: ____________________________________________________________________

form updated Wednesday, September 23, 2015