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__ JeSSic&__WV\ AsO
Project Topic _Nyxvinon ( pn)
Mentor Name Wu Contour
Place of Employment _ Novi + Nachon Counveli
Work Address ‘10S Wosewwod Weadiw Lane, Hentvsvilte, NC 26076
Preferred Email ___ Weg @ Wow wbud~Shrong. Com
Preferred Phone _ LW Lyl-440S
Occupation / Title / Expertise Related to Topic (Leg tered Dichhon, Buswess Owe.
Years of experience in topic area__1_ Yaw,
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.
Date__2lvhi9
Date & st 4
Parent Signature
Student Signature Garrone Mose pate_2|5\\%