11th Grade Internship Mentor Confirmation 2024

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Thank you for agreeing to mentor a HTH student! Please use this form to officially confirm your mentor confirmation with HTH.

Notes about the internship:

This year's internship program will run from May 13th - June 7th
IPOL Day is June 7th 2024
Students are expected to intern full time (approximately 30 hours per week). Hours and days may vary depending on the site.
Students may intern at two separate sites to complete the hourly requirement.

Notes for the mentor:

Mentor will need to read and sign the electronic handbook
Students will visit your site on Wednesday April 24th from 9am-12pm to learn the commute, parking, tour the facility, meet the team and sign any paperwork required by your organization.

HTH Student Name *

HTH Student's Internship Advisor *

Mentor's name *

Mentor's email *

Mentor's phone number *

Mentor's organization *

What is the address of the internship site? *

Where is the site located? *

North County Coastal (Del Mar, Encinitas, Carlsbad, La Jolla)

North County Inland (Escondido, Rancho Bernardo, Poway, Scripps Ranch)

Central Coastal - Point Loma/Ocean Beach/Mission Beach/Pacific Beach/Bird Rock

Central Inland - Mission Hills/Hillcrest/University Heights/North Park, Mission Valley

East County (Del Cerro/La Mesa/Lake Murray/El Cajon/Lemon Grove)

Downtown/Central San Diego/South Park/Bankers Hill/

Downtown South/Barrio Logan/Coronado/National City

South County Coastal - Chula Vista, Imperial Beach

South County Inland - Chula Vista, Spring Valley, Bonita, Eastlake

Other:

Are you a returning mentor or first time mentor?

First time mentor

Returning mentor

Other:

Please provide the name, title and email address of the person who can act as the "authorized signatory" for the documents if that person will be someone other than the mentor.

I agree that: *

The High Tech High student will work and be supervised in person by myself or a co-worker. The student will complete meaningful projects/work that contributes to the workplace. (If you are unable to do the above, please explain how we can help you.) Please write your name below to show that you acknowledge that you have read the Student Internship Program Handbook and agree to fulfill the requirements and abide by the information contained therein. The student will follow up and ask you to sign pages 8-10. Thank you

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