MENTOR GONFIRMATION

For Mentor:
lf you agree to serve as a mentor for a Highland High School Senior Exit Project you will need to meet the following mentor

\*

responsibilities...
at your initial meeting with the student fill out the Mentor Confirmation Sheet. By signing this form you are stating
you agree to serve as a mentor and that you approve of the project the student plan! totomplete.
. be available to answer any questions the student may have throughout the project process, including a formal
interview at the start of the project. This time span could range from August through April. lf you will be out of town
for an extended period of time through this process, please make plans ahead of time with the student.
. meet at least three times with the student, in addition to the formal interview. lt is the student's responsibility to set

r
.

up these meetings.
provide a grade for the student's project once the project has been completed. This grade is based on a student's
effort, attitude, and creativity.
if possible, be present for the student's final presentation on May 8th, 2015.

I have read the Mentor Responsibi[ties.Qui

Highland High School Senior

and I agree to be a mentor to the following

I have discussed the Senior Exit Project paper and project plan with the student and find it to be:
unacceptable

acceptabie

I will oversee the above student's progress during this project and I am available to meet with the
student during the following times:

What is your background, experience, or knowledge in the student's project area?

Date: l0-l-iv

Mentor Signature:

Please Print

ers

Name:
Address:

lc.yv{ tu
uJ I
l1-,caLt |.,.u,r-{
l'{-yt
I

Phone: (h)

QzQ

(w)

Qzl

E-mail

-1* tk

- 11al

d eqq.rs

('eiuh{i{ l,^L , h ef

r,

,or,
Do you prefer e-mail?
May we include you in a database of possible mentors for future students?

X Yes

No

For Parents/G uard ians :

"* By signing below I am giving permission for my student to mentor with the person listed above for a
minimum of two contacts on his/her Senior Exit Project. We
you, as a parent or guardian,
to stay in contact with the mentor throughout the
ParenUGuardian Signature:

Date:

'b-i-,'f
ll