Contract for Mentor

 

Client:_______________________________________________
Address:______________________________________________
Telephone number:_______________________________________
e-mail address:__________________________________________

Site:_______________________________________________________
Directions:_________________________________________________

The purpose of this mentorship is to:



The goal is:

General Area(s) to be considered (student, parent, curriculum, administrative, special education, peer, classroom, workplace, etc.)






Time frame: _______ (date) to ______ (date) # of meetings (how often):_____
Length of each meeting:_______________


($75/hour for on-site; $50/hour for telephone conferencing; $25/e-mail)

Cost of Travel:_____________
Cost of Telephone calls:_______
Per Diem food/lodging:________


Signature of Client Representative Date Signature of CDF Representative Date

Signature of Consultant Date

 

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