Title: Mentor Sign Up
Course: CCV-Employment Services: Foundational 4-16 > Section: Module 1A (Week 1) Application of Core Values and Principles of Practice, Part I

Each student needs to recruit a mentor to assist them in the completion of the field based assignments.  This mentor can be their supervisor, the Business Account Manager (BAM) assigned to their CWS region or an experienced co-worker/colleague.  Please provide your mentor with this document. Please have you mentor chosen by the end of Week 1. Your instructor can assist in recruiting a mentor if necessary. Provide your mentor the following document: Mentor Overview

Mentor Sign Up

Q: Mentor Name:
Q: Mentor Title:
Q: Mentor Email:
Q: Is your mentor:
- Your supervisor
- A BAM
- Peer
- Other
Q: Mentor Phone Number
Q: Mentor Organization:
Q: Mentor Role (Please specify if your mentor is a supervisor, peer, BAM etc.)?
Q: Did you provide your mentor with the Mentor Overview Handout?
- Yes
- No