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Paving The Way
EmailMeForm
2011-2012 Meeting with Mentee Form
Mentor Name
*
First
Last
Mentee Name
*
First
Last
1. Frequency of Meetings
*
Weekly
Every other month
Monthly
Other (please explain)
2. Types of Contact
*
Face-to-face
Phone
E-mail
Texting
Facebook/Social media
To select more than one response, hold down the CTRL key.
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?)
*
Fitting in with campus culture
Finding friends/social group
Reducing stress
Tutoring
Time management
Health and counseling center
To select more than one response, hold down the CTRL key.
5. Additional Comments (How has your mentee being doing over the past month? Any concerns we should be aware of?)
*
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