U Mentor

Thank you for your interest in the "U" Mentor Program. To ensure a successful mentor/mentee experience, please provide the information below. This information will help us find the best match for you.

The Sacramento State "U" Mentor Program — ACKNOWLEGEMENT AND RELEASE

Activity: Sacramento State "U" Mentor Program

I acknowledge that I am voluntarily participating in the Sacramento State "U" Mentor Program ("Program" or "Activity"). I understand that (1) while serving in this role, I will not at any time be considered an employee of the University; and (2) I will independently select my own mentee from the students who have requested to participate in the Program. I have been advised that the campus maintains a policy prohibiting discrimination against and/or harassment of students under Executive Order 1072, which can be found at www.calstate.edu/eo/EO-1072.html a policy of mandatory reporting of child abuse and neglect under Executive Order 1083, which can be found at www.calstate.edu/eo/EO-1083.html. I agree to comply with these policies.

In consideration for being allowed to participate in the activity, on behalf of myself and my next of kin, heirs, and representatives, I release from all liability and promise not to sue the state of California, the Trustees of The California State University, California State University, Sacramento and their employees, officers, directors, volunteers, and agents (collectively "University") from any and all claims, including claims of the University's negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic or emotional loss I may suffer because of my participation in this activity, including travel to, from, and during the activity.

I am voluntarily participating in this activity. I am aware of the risks associated with traveling to/from and participating in this activity, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or outcomes may arise from my own or other's actions, inaction, or negligence; conditions related to travel; or the condition of the activity location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in this activity, including travel to, from, and during the activity.

I agree to hold the University harmless from any and all claims, including attorney's fees or damage to my personal property that may occur as a result of my participation in this activity, including travel to, from, and during the activity. If the University incurs any of these types of expenses, I agree to reimburse the University. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.

I am 18 years or older. I understand the legal consequences of signing this document, including (a) releasing the University from all liability, (b) promising not to sue the University, (c) and assuming all risks of participating in this activity, including travel to, from, and during the activity.

I understand that this document is written to be as broad and inclusive as legally permitted by the state of California. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms. I have read this document, and I am signing freely. No other representations concerning the legal effect of this document have been made to me.