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