KCAI Illustration: Mentorship supervisor evaluation form
Dear mentorship supervisor,
 Please fill out this mentorship evaluation as completely as possible to help the faculty advisor assign the student a grade for the mentorship. This evaluation will be shared with your mentored student once the faculty advisor has given him/her a grade for the mentorship.
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Student Name
Mentor's Name
Mentor Website
Mentor's Address
Please include city, state and zip.
Primary Phone #
Please indicate if it is a home/work/cell phone.
Fax #
Please indicate if it is a home/work/cell phone.
Email
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