Teacher Mentor Meeting
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Mentor Name *
Student First Name *
Student Last Name *
Month
Date *
MM
/
DD
/
YYYY
Current Semester GPA *
Current Grades *
A
B
C
D
F
N/A
English
Math
Science
Social Studies
Physical Education
World Language
Elective/Other 1
Elective/Other 2
Elective/Other 3
Please comment on the above grades (Elective descriptions, tutoring needs, upcoming or prior tests/projects, etc.) *
Please list any concerns discussed with student that Upward Bound Staff need to follow up on. *
Brief summary of meeting and additional comments: *
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