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Mentor Log
Please fill out this form after every mentorship session.
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* Indicates required question
Email
*
Your email
Your Name
*
Your answer
Mentee Name
*
Your answer
Date of Meeting
*
MM
/
DD
/
YYYY
Type of meeting
*
In person
Email
Phone Call
Video Call
Other
Did not meet
Duration of the meeting
*
less than 30 minutes
30-60 minutes
more than 60 minutes
Did not meet
If you were unable to meet with your mentee, please explain why. Put "N/A" if this does not apply.
*
Your answer
How would you rate the quality of your relationship with your mentee?
*
Excellent
Above Average
Average
Below Average
Poor
How is your mentee doing?
*
Excellent
Above Average
Average
Below Average
Poor
Would you like to elaborate on how your mentee is doing? If so, please explain below.
Your answer
Is there anything you would like to share with us that requires immediate attention or intervention?
Your answer
Are there any resources or tips you would like to share with us that you feel would be helpful to the general mentor community of our program?
Your answer
Are there any resources or tools that you wish we would provide to improve your mentorship experience?
Your answer
Send me a copy of my responses.
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