 |
Mentor/Student Agreement Form |
|
Mentor/Student Agreement Form |
Name _____________________________
Designations___________________
Title
___________________________________________________________________
Company Name
_________________________________________________________
Address
________________________________________________________________
City ______________________________________ State ______ Zip _____________
Phone ______________________________ E-mail_____________________________
Student
Name _____________________________
Designations___________________
Title
___________________________________________________________________
Company Name
_________________________________________________________
Address
________________________________________________________________
City ______________________________________ State ______ Zip _____________
Phone ______________________________ E-mail_____________________________
I agree to establish and
maintain a mentor relationship with the FLMI student whose signature
appears on this form.
Furthermore, I will fulfill the obligations of a mentor as stated in
the program description and abide by the guidelines
set forth by the
LOMA
Society of South Central Texas Mentor Program.
Signed
(mentor)______________________________________ Date ______________
I accept ___________________________________________
as my personal mentor.
Signed (student)
______________________________________ Date ______________
Attention: Sherry Rakowitz
USAA Interoffice address: A01E, Business SupportMail to: USAA Life Insurance Company
9800 Fredericksburg Road
San Antonio, TX 78288