Appendix C Mentor Consent Form The role of the Mentor is to serve as an expert in the field chosen by the student. By signing this form, the mentor agrees to: allocate time (a minimum of ten hours) to work with the student; provide insight into the ‘raining, expectations, and demands of the field; ensure that the student is actively involved during shadowing and not simply observing. If desired, the mentor may provide suggestions, advice, and support regarding the development of a tangible product that connects to the reakworld requirements of the career. Student Name _Cre. 2h eESEESSIEESEESEEEeeereteanaci Project Topic] awe Enfortement Mentor Name. d. Place of Employment Jfunte-Spi/le Pojice Dep. Work Address 9630 Tutan Clarti Ave. Mu kSylle We Qe Preferred Email TS yon Ay, © heater sulle er) Preferred Phone _Zsey- 4 Yay: RKC Occupation / Title / Expertise Related to To ‘Years of experience in topic area__Z- For the protection of myself and the student, T agree that we will not meet alone. I agree to uphold the roles/duties of the project mentor to the best of my ability.‘ also confirm that I am not related to the student. eee ¥% Date_ 9-4 -dos _ Date F/S//5 Date I/IG/5 Mentor Signature ===> {? aera Lt Parent Signature Student Signature _