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2012
December
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Monthly Report December
Monthly Report December
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Exit Survey
-Please respond to each question every month even if the answer has not changed.
-Complete a separate report for each child you mentor
-The survey will not take long and it gives Tall Turf valuable information. Please complete it!
Mentor Name
Mentee Name
How has your mentee's school attendance been this month?
Attendance increased
No change in Attendance
Attendance decreased
How was your mentee's attendance reported to you?
She/he self reported to me
Parent/Guardian report
School records
Other
How many times did you meet with your mentee and what did you do?
Date
Time involved
Activity
1st meeting
2nd meeting
3rd meeting
4th meeting
How many times did maintain communication with your mentee in between meetings?
1
2
3
4
Other
You're doing great, keep it up!
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