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 AND mare\lan | Project Topic la dvev ssid, er ee Miornvamene = Decne: Place of Employment _ Owe « Work Address___ (000 Lowes Blvd, Preferred Email__ derrick... wood @ lonel.com_ Preferred Phone 508 - 498-14 ‘Occupation / Title / Expertise Related to Topic NZ Bead Coreen Me Peo Years of experience in topic = Mae fee that we will not meet alone, I agree to uphold the lity. Talso confirm that I am not related to the student. pew 32:19 For the protection of myselffand the 4 ay Parent ae \ Date a2 Student Signature ee Date_3 fyAppendix A Parent/Guardian/Student Permission and Liability Form Seer dian/Student Permission and Liability Form {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 Resive & diploma from Pine Lake Preparatory. I also understand that the student and his / her parents are Tesponsible for any damage or injury to the student or others during the student's self-selected Pride Project hours. Parent/Guardian Name(s) (please print) ie_+ Witton iclellan Parent/Guardian Home Phone(s): bb3-4\79 Work Phone(s): _")4~ (a1) - O}3 (Mother) STONStH 7-055. ae ____ (Father) Parent/Guardian Email(s): _ DAOC amaicm alton. melalan@gmail:co Parent/Guardian Signature A eA 2 nes Dare Sifaufit 1< ) (2 Signature Optional Student Signature —Lomeigy Metellan Date_2 | aig Stace? hs Haba fine Ted