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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 Tenior ABrees to; allocate time (a minimum of ten hours) to work with the student; provide insight fate the ing, expectations, and demands of the field; ensure that the student is actively involved during shadowing ea not simply observing. If desired, the mentor may provide suggestions, advice, and support regarding the levelopment of a tangible product that connects to the real-world requirements of the career. Student Name Hunter Kibo Project Topic _ Op tometcu, Dr Mereditn HackWy Mentor Name Place of Employment Secdiwm Se Care Work Address_119. Landing s Dive, Ste LS Moniesite, NG 23h Preferred Email_ dy hacHeY@spectwmneye (Ove Ne.com Preferred Phone_7OY- $1} -4000 Occupation / Title / Expertise Related to Topic_ Optornctust Years of experience in topic arca__ 3 EQNS For the protection of myself and the student, I agree that we will not meet alone, I agree to uphold the soles/duties of the project mentor to the best of my ability. I also confirm that I am not related to the student. Mentor Signature DM. Hetbhag Date 09] she Parent Signature ain) Date y / Fiy sindent Signature Hone hthadh ~ pate IAA /16

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