2011-2012 Paving the Way Meeting with Mentee Form

Date (mm/dd/yy)   
Mentor's Name    Mentee's Name   

This form is for your use when you meet with your mentee. Please record your responses to the following topics.

 

1. Frequency of meetings
If you selected "other," please explain:   

.

2. Types of meetings/contacts (select all that apply)
 Face-to-Face   Phone Calls   E-Mails   Texting   Facebook   Other  
If you selected "other," please explain:   

,

3. Topics of discussion (e.g. academic challenges, financial issues, health issues, campus relationships). Be specific.

.

4. Resources/Referrals
What types of resources and/or referrals does your mentee need or has requested?

(Check all that apply)  Fitting in with campus culture   Finding friends/social group   Reducing stress   Tutoring   Time management   Health and counseling services   Other  
If you selected "other," please explain:   

.

5. Is there anything else you would like to share?
   
 

For more information, contact Erik S. Farley.


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