SELECT Workshop ConsentForm
TheSELECT (Schuylkill Education Leading to Employment and Career Training)Pregnant and Parenting Teen Program is offering __________________________the opportunityto participate in a workshop on various parenting and career readiness topics.
Where: ________________________ When: _________________
The SELECTProgram is a service offered at __________________ and participation in thisworkshop has school approval (excused absence). The student is responsible for completing anymissed schoolwork.
SchoolCounselor’s Consent Date
SchuylkillMall, Frackville, PA 17931
Phone (570)874.0137 * Fax (570) 874.1213