ICS Addis Guardianship Authorization
We believe that children have a fundamental right to be safe in every aspect of their lives and we all must act in the best interest of your child and our students.

In keeping with our core values and mission statement, ICS has adopted a Child Protection Policy to guide our staff, volunteers, students and families in matters related to the safety and care of children attending our school. Your awareness and support of the policy is required. You can access the Child Protection Policy on our website: https://www.icsaddis.org/community-portal.

As part of our Child Protection Policy, parents who are out of the country for more than one day must designate an official guardian for their children by submitting this guardianship authorization. In the unlikely event of a health or disciplinary concern, we need to be able to contact someone locally with the authority to make medical and disciplinary decisions. A guardian is not necessary if one parent is still present.

ICS may follow up with parents if the parental absence period is extensive or if the school has any concerns about the child's well-being.

Note: if the form below displays Amharic characters in the answer fields, you may change your language settings by opening www.google.com, clicking on "English" under the search field and then reloading this form. However, the form can be submitted successfully without changing the display language.
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Name of parent completing this form *
Email address of parent completing this form *
Student full name *
You may include multiple children on this form.
Select your child or children's school division(s): *
Required
About Guardianship Authorization
All students must have a parent or guardian living in Ethiopia who assumes full responsibility for
the student. If the parent(s) or current guardian(s) will be out of Addis Ababa, not in cell phone
range or absent from Ethiopia, they must designate another adult as the guardian during that
time. The designated guardian will be the primary contact for the named students during the
dates of guardianship, including for emergencies. The appointed guardian has the authority to
direct medical intervention and emergency evacuation from Ethiopia. Parents will also be
contacted, whenever possible.
Start date for parent absence *
Guardianship authorization is applicable for the given dates only and must be re-authorized for each parental absence.
MM
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DD
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YYYY
End date for parent absence *
MM
/
DD
/
YYYY
Guardian full name *
Guardian phone number(s) *
Guardian email address
Provide parent contact information while outside Addis or Ethiopia. *
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