Teacher/Mentor Contract


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