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 JOhn AYCiecn =
Project Topie fy [79 CECH, “4
Mentor Name jel ee C
Place of Employment __/! ViSfOr ores
Work address 452. S. Mar'n
=
Preferred Email “}}
Preferred Phoné1O‘} LOY -Y¢ SO
Occupation / Title / Expertise Related to Topic.) | re c
Surat Os Cf Ja a eee ne
=
Years of experience in topic area).
Sst ame Ne
Crem
nahes