1. I agree to abide by all the guidelines set forward by the Hononegah Community High School Gifted and Talented Mentoring Program.
2. I agree to spend a minimum of twelve hours with the assigned mentor over a period not less than three months and not more than nine months.
3. I agree to contact the program’s coordinators regarding any concerns or changes in the program.
4. I agree to give advance notice to the mentor if I will not be available for a meeting.
5. I agree to inform the program coordinators immediately if I must terminate a mentoring relationship. Furthermore, I agree to participate in a Termination Interview if requested by the program coordinators.
6. I understand that the Mentoring Program is a voluntary service provided by the mentor and the Mentoring Program at Hononegah Community High School District 207. In the interests of the program, the Mentoring Program coordinators at HCHS shall retain the discretion to terminate a mentoring relationship if necessary.
7. I agree to release and hold harmless the HCHS Gifted and Talented Program and its individual members from any and all claims I may have that result or arise from a termination of a mentoring relationship.
8. I agree to keep information regarding the mentor confidential.

Student’s Signature: ____________________________________________________________
 
 
 
 

Date: ____________________________________________________________________________