You are on page 1of 1
Appendix © Mentor Consent Form The role of the Mentor isto serve as an expert in the Field chosen by the student. By signing this form, the mentor agres to: allocate time (& minimum of ten hours) to work with the student; provide insight into the teuining, expectations, nd demands of the field; ensure that the student is aetvely involved during shadowing and not simply observing, IF desired, the mentor may provide suggestions, adviee, and support regarding the ‘development ofa tangible product that connests tothe real-world requirernens of the career. “smadont Name (ltt U1 eal resecrone MMIC ING In Bus) Pes menorrine KAA ECCLES rs ace ot Employment C10(L1A cht Wor Adis WZIS” CO rniun Pd. Sub 6, Huntsville, Proferred Email | d eg) prefered Phone (410) Olle = 2432 Cecoation Tite Popes Retaed to Tope AUS IPSS OWL outer Wiunag er Yeats of experience in topic arc For the protection of myself and the student, I agree that we will not meet alone. 1 agree to uphold the rolesidties ofthe project mentor othe best of my bility. Lalso confirm that {am nt related othe student Meator Signature Z pwe_ ALS AS~ ow “US [28 ¢ __ pate Wis | 201 Parent Signature Student Signature

You might also like