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LAMP MENTOR REPORT FORM

It is recommended this report be filled out after every meeting with your mentee. This report is due every Friday before 5:00 p.m. This form is time dated to our servers when submitted. Write down a brief synopsis of your meeting with your mentee. What questions did they have? What did you help them with? What did you talk about? Did you notice any unusual behavior? Have there been any progress with goals you set for your mentee? What does your mentee need improvement with? What could you do better at your next meeting? You should submit up to 1 report minimum per mentee.
 
PEER MENTOR NAME
MENTEE_NAME
Report for Week of
Did you contact this mentee this week?
Type of Contact

What is the date when you talked/met with your mentee?
At what time did you meet with them?  
Location of Meeting
Amount of time spent with Mentee – (minutes, hours, etc. via email, phone etc)
What did you discuss with your mentee? Did you help them? (Keep it simple to the point)
Did you refer the student to any of the following services.  Please select one.  
   

Before submitting this form, double check your responses. Please wait up to 60 seconds for confirmation page. Please do not press the submit button twice.

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Student Union 2.16A - Student Organization Room
80 Fort Brown, Brownsville, Texas 78520
 Office (956) 554-5030 | Fax (956) 554-5039 | Email: smartinez2@utb.edu

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