DPS Permission Form - Women And Mathematics Mentoring Program

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Durham County Mentoring Program:
Dr. Laura Smith, WAM Durham County Coordinator
(919) 452-7750 womenandmathmentoring@gmail.com
Women and Mathematics Network
To Whom It May Concern:
My daughter
has permission to be
picked up by
on ______________
Math Mentor
attend/visit_ Marjorie Lee Brown Career Day with
My daughter will be returned to
to
Date and Time
__________
.
at_____pm.
It is my understanding that this event is a component of the NC Women and Mathematics
Math Mentoring Program.
Parent/Guardian Signature
Date
Phone Number on That Day
With Support from GlaxoSmithKline, Amgen Foundation, Duke University Pratt School of Engineering,
and North Carolina Central University.
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