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Elevate Mentorship - Progress Report
This PROGRESS REPORT is be completed by the ELEVATE MENTOR.

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elevatementorshiprogramme@gmail.com

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Mentor Name
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Mentee Name
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Gender
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Female
Male
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Age
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10 - 13 Years
14 - 15
16 - 18
Over 18
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Email Address
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School
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Reason for Signing up for Mentorship
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Dates and Times of Meetings (1)
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Method of Contact
(Select all that apply)
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Face to Face
Telephone
Video Conference
Email
Text Messages
All of the Above
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What were the areas of mentorship
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Personal Development
Social/Life Skills
Spiritual Development
Academic Development
Career
All of the Above
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Mentor Update
(Provide a summary of the mentorship relationship and mentorship outcomes to date)
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(0 points)
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Recommendations
(What changes, if any, do you recommend at this time)
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Mentor Signature 
Click YES below to sign
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Yes
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Date
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NOTED
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Mentor Name
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Mentee Name
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Gender
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Age
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Email Address
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School
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Reason for Signing up for Mentorship
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Dates and Times of Meetings (1)
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Method of Contact
(Select all that apply)
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What were the areas of mentorship
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Mentor Update
(Provide a summary of the mentorship relationship and mentorship outcomes to date)
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Recommendations
(What changes, if any, do you recommend at this time)
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Mentor Signature 
Click YES below to sign
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Date
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NOTE:

All information submitted on this form will remain confidential. Information submitted virtually will be securely stored, with limited access.

Forms submitted manually will be kept in a secured place with limited access.

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