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Mentor Monthly Communication
Mentor First Name (required)
Mentor Last Name (required)
Email Address (required)
Scholar's Name (required)
Reporting Month and Year (ex. March 2016) (required)
Number of Visits (required)
Select one012345678910
List dates of Visits (required)
Select one45 minutes1 hour1 hour 15 minutes1 hour 30 minutes1 hour 45 minutes2 hours2 hours 15 minutes2 hours 30 minutes2 hours 45 minutesGreater than 120 minutes
Calls/texts? (required)
YesNo
Emails? (required)
Total number of hours spent with Scholar (required)
Did scholar attend all scheduled meetings? (required)
Comments/Feedback
Mentor Brag Book
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