You are on page 1of 1
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__ 34.50 a a Project Topic Mentor Name. =e Prosser Place of Employment Te rd (ven work Address 2020 SutteE Starity Rowd Chay He Ne 99206 Preferred Email S¢ nett+e —. prosser@ hotmai 2 Cam Preferred Phone_7204-S77~O62Y Occupation / Title / Expertise Related to Topic cect a L ‘Years of experience in topic area id For the protection of myself and the student, J agree that we will not mect alone. I agree to uphold the roles/duties ofthe project mentor to the best of my ability. I also confirm that I am not related to the student. Mentor Signature _. Parent Signature” Student Signature

You might also like