JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Community Connections Mentoring Hours
We appreciate your decision to mentor a child through Community Connections Mentoring. This form is intended to make it easy for you to submit your hours report for the month. Please let us know if you have any questions.( SUBMIT TWICE if you need to send in more than one month hours)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your name
*
Your answer
Your mentee's name
*
Please submit a new report for each mentee.
Your answer
Month
*
Please indicate which month you are reporting hours for and submit a new report for each month.
May 2019
April 2019
Number of mentoring hours per month
*
Please indicate the total number of hours you spent with your mentee this month.
Your answer
How many of THESE hours were in service to others?
*
If some of the hours with your mentee were spent doing community service (either in a Community Connections Mentoring project, or on your own), please indicate the number of hours.
Your answer
Number of meeting times and brief description of each included a phone call/text/email with the mentee ( beyond setting up a meeting time.)
*
Your answer
Askable Adult class has been RESCHEDULED for July 31st at 5 pm at McKinley Education Center central meeting room. We will provide dinner for those attending. This training has been strongly encourage by Mentor Nebraska. It is geared for 10 to 30 particpants (minimum of 10 to offer it).
*
I will plan to attend.
I am not able to attend
Other:
Required
Here are the upcoming group activities for June/July (please check those you plan to attend and leave comments or questions in the next slot):
Golden Games volunteer June 13th - 10 to 11:30 am shift
Golden Games volunteer June 13th - 1 to 2 pm shift
Art Class June 20 - reserved spots for Steve, Kara, Jayna, Lane, Jill, Conrad, Cat (please let me know if you are not able to attend)
Escape Room July 7th ( 2 rooms scheduled 4 to 6 in each room - time is now set for 2 pm )
Escape Room July 10th ( 2 rooms scheduled 4 to 6 in each room - time is now set for 7 pm)
Group Ukulele classes on June 11th, 18th, 25, and July 2nd - all uke's a reserved but if you have your own and want to join the class, please let me know
International bazaar July 27th from 4 to 7 pm ( volunteer to help at event or with our booth)
Comments or questions about above activities. If interested in Escape room - give your time preference or if you want to be scheduled with another mentoring pair...
Your answer
The Color Run was rescheduled from March to July 20th. This is conflicting with our Community Connections 10th anniversary event for the Prescription Drug Collection (see newsletter). However if you and your mentee are still interested in throwing color on runners let me know and I will get things set up with the volunteer coordinator.
Your answer
Heads up:
Horse back riding at Dusty Trails - graduation event for those entering 8th grade. All welcome to attend!
Spray paint art (might be later in the fall)
Maranatha Archery Tag and Low Ropes Course (planning underway for this fall)
Be sure to check the newsletter for the Lincoln County Fair link - the Butterfly Effect looks fabulous and is free to attend.
Your suggestions??
Your answer
According to the Search Institute's report on Developmental relationships "Young people do better when they experience a strong web of relationships with many people.Each relationship can be an important source of strength." Remember mentors are one part of this web of support. I will be sharing the 5 elements of a developmental relationship with you over the following months. I hope you will consider each and how you might apply these to the time you have with your mentee.
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Community Connections.
Report Abuse
Forms
