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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 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 WiEL TUR Project Topic Mentor Name C3 AY ROMIBEAG Place of Employment A] ER OBYR Wily ~TUAsn/erk Work Address_ | BS G0 SPE; PE Prefered Email 4 P TACMA CLO (QD E/PAllLg COrg Preferred Phone “OY ¢Y9- EPID Occupation / Title / Expertise Related to Topic _2= carve Years of experience in topic area_ 5B For the protection of myself and the student, I agree that we will not meet alone. I agree to uphold the roles/duties of the projectthentor Ie, ability. | also confirm that | am not related to the student, Mentor Signature Parent Signature Date Student Signature Date

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