PECS Summer 2020 Mentor Debrief Form
Please complete this form after your meeting with your mentee. This form should be completed for students who meet scholarship eligibility requirements by engagement in sessions.
Mentor Full Name (First Last): *
Mentor E-mail: *
Mentee Full Name (the one you just worked with): *
Date of Session: *
MM
/
DD
/
YYYY
Duration of Session *
Type of Session (Select all that apply): *
Required
How did you interact with your mentee? *
Select all that apply.
Required
Please note your mentee's level of engagement, understanding, writing proficiency, improvements, and other observations here. *
On a scale of 0-10, please rate your mentee's level of engagement. *
ONLY denote a rating of "0" if your mentee did not show up.
not engaged
exceptionally engaged
List any additional comments or concerns. Any notes will be helpful for mentors in the long run
Submit
Never submit passwords through Google Forms.
This form was created inside of Virginia Commonwealth University. Report Abuse