SAHS Student Contact Information and Advisor Agreement Form

							                     Student Contact Information and Advisor Agreement Form
                                        Graduation Project
Student’s Name         _____________________________________ NCWISE #____________

*Student’s Signature ___________________________________Anticipated Graduation (mo/yr)_____________

Student’s Address ____________________________________________________________
                           (street address)                    (city, zip code)
Student’s Home Phone (_______) ________________________

Parent/Guardian Name_________________________________

Parent / Guardian Email Address _______________________________________________

*Parent/Guardian Signature _____________________________

Fall Semester Junior Year Schedule                         Spring Semester Junior Year Schedule

Pd. 1 Class / Teacher __________________________________   Pd. 1 Class / Teacher __________________________________

Pd. 2 Class / Teacher __________________________________   Pd. 2 Class / Teacher __________________________________

Pd. 3 Class/ Teacher __________________________________    Pd. 3 Class / Teacher __________________________________

Pd. 4 Class/ Teacher __________________________________    Pd. 4 Class/ Teacher __________________________________


English III Teacher _________________________ Semester                     1 or 2 (circle one)
                                                               Period 1       2      3 or      4 (circle one)
Advisor’s Name ____________________________________

Advisor’s Room Number/Location____________________Phone Number ______________

*Advisor’s Signature ________________________________
At minimum, the advisor agrees to the following                 The Advisor agrees to serve as long as the student fulfills these
responsibilities:                                               responsibilities:
     meet with the student as needed throughout GP work             schedules and attends meetings
     document the student’s progress on Advisor Checklist           brings required materials to the meetings
     sign and date the Advisor Checklist                            listens to the advisor’s comments and suggestions
     read and comment on student’s written work                     is respectful.
     listen to student’s presentation and offer suggestions
         for improvement
     honestly evaluate the student’s progress.                 Advisor Requirements:
     recognize and assist with problems                        The Advisor must be an ABSS employee. Parents who are
     offer ideas to the student when he/she needs help         ABSS employees may not serve as advisors to their own
     encourage the student throughout the process              children.
     grade the portfolio using the ABSS rubric.




                                                                                        Continued on back 
Senior Year Information (To be completed with Advisor at the beginning of the senior year)


Fall Semester Senior Year Schedule                            Spring Semester Senior Year Schedule

Period 1 Class / Teacher __________________________________ Period 1 Class / Teacher __________________________________

Period 2 Class / Teacher __________________________________ Period 2 Class / Teacher __________________________________

Period 3 Class/ Teacher __________________________________    Period 3 Class / Teacher __________________________________

Period 4 Class/ Teacher __________________________________    Period 4 Class/ Teacher __________________________________



English IV Teacher __________________________ Semester                       1 or 2 (circle one)
                                                               Period 1         2     3 or      4 (circle one)




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Students should return this signed form to: Advisor                    Deadline to Advisor:

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Advisor should make a copy and return the original to the Graduation Project Coordinator at:
                                                          Deadline to GP Coordinator:




Advisors should keep a copy of this form for their records in order to contact their advisee in case of a problem. If a student
fails to meet with his/her advisor, the Graduation Project Advisory Board at the student’s school should be notified. The
original should be turned into the Graduation Project Coordinator.