Senior Project

Participation Approval Form

Student’s Name               ______________________________________________

Student ID #                             ______________________________________________

Student’s E-mail Address            ______________________________________________

Advisor’s Name               ______________________________________________

Mentor’s Name                         ______________________________________________

Mentor’s Phone Number            ______________________________________________

Mentor’s E-mail Address            ______________________________________________

Title of Job                               ______________________________________________

Address of Jobsite              ______________________________________________

                                                ______________________________________________

Project Approved                         ______________

Project Approved  ~ Pending

Committee Member’s Signature                                                                      Date                            

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