2011-2012 Meeting with Mentee Form

Paving The Way

EmailMeForm

Mentor Name *
First Last
Mentee Name *
First Last
1. Frequency of Meetings *

Weekly

Every other month

Monthly

Other (please explain)
2. Types of Contact *

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?) *

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?) *