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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

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