Mentor Check-in Form

  • Date Format: MM slash DD slash YYYY
  • :
  • Please include description of activities (including location) and mentee’s reaction/response to these activities. Please also note any memorable topics of conversation, including things you learned about your mentee, or anything they said that you’d like to follow-up on. Be sure to document any expenses incurred, and whether or not these were covered or reimbursed by mentee’s family.
  • Please note any issues that might be cause for concern and/or require support from program staff (i.e. minor injuries, problematic behavior, family concerns, or other general safety concerns, etc.)