Appendix © 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 training, 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 real-world requirements of the career. Student Name al xe thy ene. Tucker Project Topic Cyrici Sm Vo Mentor Name K A 6 Place of Employment Hert Work Address (S| Ha tvart cla tis - Preferred Email kyis| awe st caste eho: Col __ Preferred Phone POL —(p Uf - (89 & Occupation / Title / Expertise Related to Topic “Sa ater Lauer cist Years of experience in topic area__@ Yeats For the protection of myself and the student, T agree that we will not mect alone. T agree to uphold the roles/duties of the ei ‘mentor to the best of my ability. [also confirm that I am not related to the student, Mentor Signature \ Ma AKI ea Date ISHS Parent Signature Student Signature