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 Haylee Melinda Hartzog Project Topic Elementary Education Mentor Name Sheroy Wentzel Picelat Employment SPL Patty ot NE eee ee Work Address_JDY Yellow Wood Cirele Preferred Email_Shérn}e Wentzel@.pclake prep. ocg Preferred Phone _‘704- 997-90)2. Occupation / Title / Expertise Related to Topic old Grade Teather. Years of experience in topic area_o/4/yr5 the student, I agree that we will not meet alone. I agree to uphold the frm that | am not related to the student. For the protection of myself and the best of my ability. | also confi roles/duties of the project mentor to wooo ly, Mag _____™ ds Date Lit lis pate W/IH/1S Parent Signature ry { Sif s sindentSgnatere HOLME Pett 6°