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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 SG Chovealte— Project Topic Mentor Name_ Mary She phous Place of Employment The Liak Gro 42 Work Address 17S 44 igo te De a SS Preferred Email_ atu @ Hg -cona Preferred Phone (20 —G1$-4 DES ‘Occupation / Title / Expertise Related to Topie_Researcln Manages : Word at 1 i Sy Af A CO pans Years of experience in topic area__ A+ 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 fo the best of my ability. also confirm that I am not related to the student. Mentor Signature Ww a — pate F-1f- If Date Student Signature ___ Date

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