KYCOM - Mentor Release Form

KYCOM Summer Research Fellowship Program

Student Release Form

Mentor and Student Information
Mentor's Name
Mentor's Department/Institution
Mentor's Email
example@example.com
Student's Name
Student's ID
Title of Research Project
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I, the undersigned mentor, hereby release the student listed above from my mentorship for the

duration of the KYCOM Summer Research Fellowship Program.
This release is effective as of Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
The decision to release the student is based on the following reasons

Other
Summary of Project Progress
Please provide a summary of the students' progress and the work completed on the research project under your supervision to date.
Mentors Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Comments if Any
Instructions: The mentor should complete and sign this form. The student is responsible for submitting the completed form, along with an explanation for the request and the preferred outcome, to the KYCOM Research Committee to finalize the mentor change process.
Should be Empty:

KYCOM Summer Research Fellowship Program