20 21 NBC Online Mentor Log
Complete this log each month that you provide support for a teacher.  Complete a separate form for each teacher or group you supported each month.   You don't need to print the monthly online log---you will submit the mentor online summary of hours. Thank you for your service as a mentor.  You make a difference!
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Email *
Helpful Video Tutorial
This video explains how to submit monthly hours and how to edit information after submission. Click the word YOUTUBE to watch Full Screen.
Select Month
Month of Support *
Required
Mentor Information
Enter Information about yourself in this section
Mentor Last Name *
Mentor First Name *
Mentor Employee Number *
Mentor email *
Local District *
Mentor School--full name *
Mentor Credential--enter your credential area here *
Mentee Information
Complete the following information regarding your Mentee.
Mentee Last Name, First Name *
Mentee email *
Mentee Employee Number *
Mentee School *
Mentee Names--Group
Add all names and qualifying status of mentees in group, ie Allyson Grant, Provisional; Kenny Change, UI; Taiesha Ueda, UI; Maria Elena Garcia, Under 5 years;
Status for this Mentee--check ONE *
You will need to submit a copy of the credential from CTC in the evidence section of your log.
Support Provided
Complete the following information regarding the support you provided this Mentee this month.  Focus Area means this was a main focus of the support you provided this month.  Secondary Area means that you spent some time on this area but it was not a major area of support this month.  N/A means you did not provide support in this area for the month.
Please remember that the expectation is that you will provide support to the mentee all year.  Please allocate your hours accordingly.
General Support Activities *
Focus Area
Secondary Area
N/A
Classroom Management
Creating an Effective Classroom Environment--Physical
Creating an Effective Classroom Environment--Socio-emotional, Culturally Responsive, Engaging
Lesson Planning
Culturally Responsive Pedagogy
Data Analysis
IEP/Welligent
Modeling in the Classroom
Meeting the needs of Diverse Learners
Strategies to Support English Learners
Differentiation of Instruction & Environment for students with special needs
Identifying and developing resources and or professional development opportunities
School Site and District expectations, policies and procedures
Classroom Observation and Feedback--onsite observation
Classroom Observation and Feedback--video observation
Questioning Strategies
Assessment--Planning Entry Level, Formative and Summative Assessments to monitor student learning and guide instruction
Assessment/Analyzing Student Work/Analyzing Assessment Data
Support for the Evaluation Process
Individual Learning Plan (ILP) for those in DI or BTGDI
Provide Resources and Materials
Support for Virtual Instruction
Other Mentor Activities not on list--1
Other Mentor Activities not on list--2
Other Mentor Activities not on list--3
Mentor Support Methods *
The majority of support should be face-to-face for most months
Main method of Support
Supplemental method of Support
N/A
Face to Face at School
Face to Face at another location
Video Conferencing
Email
Phone Calls
Video Observation Feedback
Other Support Methods not on list
Select the number of hours you spent on mentor activities with this teacher or group this month. Add all minutes and divide by 60.  Enter in number format up to 2 digits, ie 8.25.  Remember, the average should be 8 per month.  Over 10 hours requires pre-approval. *
Comments
Finishing Up
1.   You don't need to print the online log--you will be able to print the 1 page summary for the semester/year.  
2.   Print the log form from the Task 1 guidelines page that says:: 2020 21 Task 1 Log
3.   Have your mentee sign it monthly.  
4.   You will sign the log page before submitting it.
Mentor Signature--Verify Accuracy--use your single sign on
A copy of your responses will be emailed to the address you provided.
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