Kanaley Mentor

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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 ‘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 thatthe student is actively involved during shadowing nd 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 nal Project Topic Mentor Name A how Place of Employment ; Eau Work Adéress_{ 24 } Gun sda Moowsuille Preferred Email mak Mae Prefered Phone 10U) 4Qi- 6750 Occupation Title Expertise Related to Topic__ 1 Guat Stylot ‘Years of experience in topic area ad “As. For the protection of myself and the student, I agree that we will not meet alone. I agree to uphold the rolesduties ofthe project mentor o the best of my ability. also confiem that [am not related tothe student, Mentor Signature "ates M+ Buran pae__l- 2-16 Parent Signature Date Student Signature pa _Keb.d

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