Appendix
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 McKenna Martin
Project Topic Author
Mentor Name Suzanne RUS?
Place of Employment Self - erplored nie
Work Address a
Prefered Email CuS4 Suzannefa> operand
Preferred Phone___" |OY-SLO-AS5H2.
Occupation / Title / Expertise Related to Topic ie “greece lant.
S ecve €
‘Years of experience in topic area rite — all oma life U,
For the protection of myself and the student, I agree that we will not meet alone. I agree to uphold the
roles/duties of the project mentor to the best of my ability. I also confirm that I am not related to the student.
Mentor Signature eran RLY Date _G-W-\7
S
Jb pae 1/7/17
Parent Signature Mb A. ae L
student Signature UC Aina Uata Date “ 1. if