Mentors: Post-Session Survey

This is a survey that Mentors should fill out after every mentorship session. If you have any questions about the session, the survey itself, or otherwise, please Contact Us.

Mentor Name: *

Full Mentor Name

Session Information

Date of Session*

Time of Session*

Borough: *

Neighborhood: *

School: *

Location: *

Location within the school (e.g. library, classroom, etc)

Mentee's Information

Mentee's Gender: *

Mentee's Age: *

Mentee's Race:

Mentee's Grade Level: *

Survey

How did it go?: *

What obstacles does the child face to graduation? : *

What did you work on that may help the child achieve their career objectives?: *

What did you suggest or what did you work on that may help the child graduate? : *

How far along are they in the college application process (if applicable)?:

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