Senior Project Proposal Form
The following information is due to your faculty advisor by__________
Student’s Name ___________________________________________
Student’s Phone Number ___________________________________________
Student’s Address ___________________________________________
City, State, Zip ___________________________________________
Student’s E-mail ___________________________________________
In a few sentences, explain your Senior Project. Please include the reasons you want to pursue your choice and the benefits you hope to gain from this experience.
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Complete during meeting with mentor
Mentor’s Name and Title _____________________________________
Mentor’s Company _____________________________________
Company’s Address _____________________________________
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Company’s Phone Number _____________________________________
Mentor’s E-mail _____________________________________
List duties/activities you will be participating in at this company.
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Have you ever worked for this person/company before? Yes No
If yes, please explain. ____________________________________________
How long and in what capacity have you known your mentor? ____________________________________________________________________
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Student’s Signature Date
Parent/Guardian Signature Date
Advisor’s Signature Date
Mentor Signature Date