Vale High School
Mentor Agreement Form
Student’s Name:___________________________________________
Career Field Chosen:_______________________________________
Project Chosen:___________________________________________
Mentor, please fill out and sign:
Mentor’s Name:___________________________________________
Phone Number:___________________________________________
Job Description:___________________________________________
Place of Employment/Contact Information:______________________
________________________________________________________
When is the best time to reach you?___________________________
I understand that I will be working directly with ________________
on the above chosen project. I am willing to maintain ongoing
collaboration and provide expertise related to the experience. This
will be done in whatever way needed to aid the student in developing
a tangible product that represents the student’s acquisition and use
of the specific skills and knowledge needed for that product. This will
be evident by the culminating portfolio, project, presentation and
reflection pieces.
Mentor Signature: ________________________ Date:____________
Student Signature: ________________________ Date:___________
*If possible, please attach a business card with this form.