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 WiQth ie Lee Project Topic (Heyetic Comse\ 7 Mentor Name \y Aven, MS COC a, H9- Lewin, Cancer Inst su $C oncord Work Address ]OO Medical Park DY WE +O Corgord no 25025 Preferred Email VA \ Von Preferred Phone 74 -UO3 OO} d- Occupation / Title / Expertise Related to Topic LOW ewe C COUWLNSCAOV Years of experience in topic area V1 ye ay ora Ununay 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 project mentor to the best of my ability. I also confirm that I am not related to the student. Mentor Signature Mas Ida WMA Date Q/25\\ Parent Signature Student Signature Date _