Teacher/Mentor Contract

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Warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'America/Denver' for 'MST/-7.0/no DST' instead in /home/jamesala/public_html/includes/function_forms.php on line 424


Student/Applicant Name:
Teacher/Mentor Name:
Teacher/Mentor Address:
Teacher/Mentor City:
Teacher/Mentor State:
Teacher/Mentor Zip:
Teacher/Mentor Email:
How long have you known the applicant?
What is the basis for your knowledge of the student/applicant? (teacher, advisor, counselor, etc.)

Mentor Agreement: I agree to help the above student, if awarded a James Alan Cox Foundation scholarship, utilize this equipment and/or funding to the best of their abilities. As a mentor, I will provide positive guidance to this student and will oversee the proper application of this award.
	I approve the above Mentor Agreement

Mentor Agreement: