BCS GRADUATION PROJECT

MENTOR CONSENT FORM

Student Name: Tirrell D. Creasman
Date: 8/29/16
Research Paper Topic: Veteran Suicide Awareness/ Prevention.
Practical Experience/Product Description: RunToRaleigh, Fundraiser,
Mentor Information
Name: (LTC) Jason Roncoroni
Place/Description of Business: StopSoliderSucide, USA Retired
Job Title: Executive Director
Phone Number: Office: 919-5322435
Cell: 919-272-5406
Email Address: Jason.roncoroni@stopsoldersuicide.org
Relationship with student (or how do you know each other?): Student is Running for Organization

Please have your mentor read each of the following statements, fill out the information, and sign below.
I am willing to serve as a mentor for this student while s/he completes Graduation Project.
I have reviewed the Mentor handbook and understand the duties and responsibilities of a mentor.
I realize that this student will need to meet with me regularly throughout the semester while completing
the Practical Experience/Product portion of the BCSGP.
I understand that my responsibilities as a mentor include verification of the time the student actually
spends in hands-on work with the Practical Experience/Product.
I understand that I will be giving an honest assessment in the form of a graded rubric for this students
Practical Experience/Product.
I am/will be aware of the due date for the Practical Experience/Product.
Mentor Signature: Jason Roncoroni
Date:8/29/16
I consent to the above individual serving as a mentor for my child for the purposes of fulfilling the requirements
of the BCS Graduation Project.
Parent/Guardian Signature: Douglas Creasman, Rebecca Creasman
Date:8/29/16