Shadow Student Athletes A.I.M. Mentoring Form
Students Name (First, Last)
Your answer
School
Gender
Grade
Date
MM
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DD
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YYYY
Time
Time
:
Mentor
Your answer
School
Your answer
Length of session (in hours and minutes)
Your answer
Person(s) Present During Session
Your answer
Location of Session
Your answer
Objective of session (select all that apply)
If other, please specify
Your answer
Description of session
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Plan
Your answer
Student E-Signature (First Name, Last Name)
Your answer
Date
MM
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DD
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YYYY
Shadow Rep E-Signature (First Name, Last Name)
Your answer
Date
MM
/
DD
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YYYY
Person(s) Present E-Signature (First Name, Last Name)
Your answer
Date
MM
/
DD
/
YYYY
Person(s) Present E-Signature (First Name, Last Name)
Your answer
Date
MM
/
DD
/
YYYY
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