MENTOR RUSD Monthly Match Report 2018-19
MENTOR RUSD Monthly Match Report 2018-19
Email address *
Mentor Last Name *
Your answer
Mentor First Name *
Your answer
Mentee Name *
Your answer
RUSD Buidling *
Your answer
Day and Time of Match Meeting
Your answer
How many times did you meet with your mentee this month *
If you did not meet, please explain
Your answer
Did you meet with your mentee outside of the school setting this month? *
If "yes" to previous question, what activities were outside of school?
Your answer
The mentee shows respect for the mentor *
How would you rate your mentee's interaction with you? ***Poor (Mentee is not engaged; resistant to attempts to resolve problems; misses sessions without notification or reason; conversation is nearly non-existent). Not so good (Mentee attends most sessions, but doesn't seem focused; conversation is forced) Good (Mentee attends sessions and is moderately engaged with mentor; willing to work on problem areas; conversations may need to be led by mentor. Very Good (Mentee attends session regularly; engages in conversation with the mentor and seems to enjoy the interaction; works on problem areas) Excellent (Mentee is actively engaged in the experience, involved, and interacts actively with the mentor) *
This is a required questionHow would you rate your mentee's behavior and attitude during the sessions? *Poor (Mentee is unwilling to try new activities; unwilling to work on deficits; attitude is uncooperative). Not so Good (Mentee is not sure about trying new activities; resistant to working on deficits; attitude is reluctant) Good (Mentee can be convinced to try new activities or to work on deficits; attitude is compliant but not enthusiastic) Very Good (With encouragement, mentee is willing to try new activities; willing to work on deficits,; positive attitude.) Excellent (Mentee is excited to try new things and demonstrates a willing, positive attitude) *
Do you provide regular feedback and constructive criticism? *Provide advice and possible solutions for mentee issues *
Do You have any concerns that you would like the Mentor Coordinator to address? *
If yes to the previous question, please explain below.
Your answer
Do you wish the Mentor Coordinator to contact you regarding your match? It is easier to solve small problems than big ones. Let me know your concerns! *
Do you have any positive, funny, interesting stories or ideas for other mentors to share? (Good news is always appreciated!)You are welcome to add any comments here as well.
Your answer
A copy of your responses will be emailed to the address you provided.
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