Scholar Mentoring Program Monthly Report
REPORTS ARE DUE BY THE 5th OF EACH MONTH!!!
Email to: email@example.com
Phone: (716) 247-5310 ext. 215
Mail to: Say Yes Buffalo Scholar Mentoring Program, 712 Main Street, Buffalo, NY 14202
Date of Report
Hours spent in person with your mentee
Hours spent electronically with your mentee
Number of visits
Number of phone contacts
Briefly describe the activities you and your mentee participated in this month. (Any outings, movies, watching tv, trips, visiting others, events, skill building, etc.)
Do you have any concerns regarding your mentoring relationship with your mentee?
Do you need to speak with the Mentoring Supervisor or Mentoring Coordinator?
Your phone number:
Any changes with your mailing address?
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