MENTOR ACTIVITY FORM
Mentor Activity Information:
* Required field
You can only submit ONE activity report for a mentee or a group of mentees per activity date. If you submit an activity report for a date that exists in our system, it will over write the previous one.
Mentor Name
*
:
Joan Smith
Mentee Name:
--- Select a Mentee ---
Chanaye Lockett
Activity Date
*
:
(mm/dd/yyyy)
Time Spent Meeting In Person:
(enter time in minutes)
Time Spent on Phone Call:
(enter time in minutes)
Time Spent on Email:
(enter time in minutes)
Time Spent on Driving:
(enter time in minutes)
Time Spent on Research:
(enter time in minutes)
Comments
*
: