“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
Project Topic
Mentor Name_CAvE/ Beew
Place of Employment _ CI TTCE
Work Address 515 WEST PAK DWE, CHAC(OTTE NC
Preferred Email Le ER (OL ES Es Cow
Preferred Phone 704 -5(01-3444
Occupation / Title / Expertise Related to Topic CHITECT
‘Years of experience in topic area__ /O yk
For the protection of myself and the student, I agree that we will not meet alone. | agree to uphold the
roles/duties of the project mentog tothe best of my ability. I also confirm that I am not related to the student,
Date_9-/2-/
Mentor Signature
Parent Signature Date
Student Signature Date