Mentor Agreement

Mentor Agreement/Contract
Mentor Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
SSN or JFKU ID#
Will not be shown to student
Student Name

First NameLast Name
Student E-mail
Quarter/Year
Units
Mentors agree to provide at least 3 hours of mentoring time per unit of mentorship.
Indicate Agreement (include revisions below)
Comments
Should be Empty:

Mentor Agreement/Contract