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. siudent Nane_CoOdio Ber of Project Topic Pert Psycholosy Mentor Name “Bri on é “Aontelecns Hl & i Place of Employment Pazeteal. osacod Lor? faelote. Work Address (G2 - Seep Xa/ Pere Ol (Lartotle A 2522 Preferred Email brian 6 brian oretelome + rr Preferred Phone Joy, 03.3835 Occupation / Title / Expertise Related to Topic Dart BarcAlleggise PO toys Years of experience in topic area O by, For the protection of myself and_the-steatont, that we will not meet alone. I agree to uphold the roles/duties oF the project mento esfOF my a also confirm that | am not related to the student. Mentor Signature _ ___ Date Leste Parent Signature Gilead Dae_(- 29-/6 27-6 Student Signature —_( (OVE EAPlease si umn the following page to your child's Senior English Academic Partner, Parent/Guardian/Student Permission and Liability Form T have read the Letter to Students and Families relating to the Pride Project and understand that the satisfactory completion of the research paper, 10 project hours, product, and presentation are required to graduate and receive a diploma from Pine Lake Preparatory. | also understand that the student and his / her parents are responsible for any damage or injury to the student or others during the student's self-selected Pride Project hours. ParentGuardian Name(s) (please print) 4 (urn d a Parent/Guardian Home Phone(s); “OC - S 234 - Sl2 & Work Phone(s): 79 ~ GO 7-3Ses(Mother) ___ (Father) ParenvGuardian Email(s): — 7Etr0. Ped MD ms Or ne Ue Parent/Guardian Signature Libor ae ot, pate (ey (2" Signature Optional) _ ___ Date Student Signature (et Lid pate - 2° ~6