KSOM Mentor Covenant

I recognize that the role of Internship Mentor is critical to the successful completion of the KSOM internship and covenant with the student and KSOM to carry out this responsibility to the best of my ability.

I agree to serve as Mentor for

Student First NameStudent Last Name

Level of Internship

Ministry credential level

I affirm that: (Please read and check all)

I have watched the KSOM Internship Mentor Instructional Video.I understand and commit myself to carrying out the mentor responsibilities described in the KSOM internship video.I understand and commit myself to carrying out the learning objectives described in the “steps to completion” for each internship standard.‎I agree to fully cooperate with KSOM leadership and the student.I agree to help the student identify and approve a more qualified “coach” for any standard in which I cannot provide a “best practice” experience.‎I agree to attend and fully participate in any mentor training provided by KSOM.I agree to hold the student accountable for excellence and the timely completion of learning objectives throughout their internship. ‎I agree to submit all required documentation in a timely fashion.‎I understand that, should I fail to carry out these responsibilities, the student is required to seek another mentor in order to successfully complete their internship.I will release the student from the mentoring relationship should I be unable to fulfill these requirements OR if the student fails to carry out their responsibility and will notify KSOM of my decision.‎

My Name

Mentor First NameMentor Last Name

My Credential Level

Mentor must be at least 1 level above the credential being sought by student

My Home Church

Church Name and City

My Email

example@example.com

My Phone Number

Area CodePhone Number

My Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code