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UVA Facilitator Consent Form
Permission Form for UVA Facilitators
Email address *
I commit to serve as UVA Facilitator during this semester. I understand I will work alongside Rise Together throughout the semester. I will participate in twice a month UVA Facilitator Training, and twice a month mentoring sessions at my assigned school. My total commitment, including transportation, is approximately 25 hours for the semester. I understand that I will dress and act professionally at all times at the school site, when communicating with RT staff and other Facilitators, and during training sessions. If I display behavior or dress that is unprofessional or unbecoming of a UVA Facilitator, I understand that I may be asked to leave the program. *
I understand all intellectual property rights are reserved to Rise Together and will not copy or reproduce lesson agendas and/or other materials. *
I give Rise Together permission to photograph or video me participating in all aspects of the program. Photos and/or videos may be used to support training and enhance promotional materials, including the Rise Together website. *
Facilitator Signature *
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