Copy of page:

* 1. Identification

* 2. When did your meeting take place?

Date & Time
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* 3. How long did your meeting last?

* 4. Where did the meeting take place and what was done during the meeting time? (i.e. we met for coffee at Einstein's)

* 5. Please give a brief overview of topics discussed.

* 6. Please provide a brief reflection of how the meeting went.

* 7. Are there things that could be improved in order to make the next meeting more beneficial?

* 8. Are there issues or concerns that the Mentoring Program Coordinator should follow up with your mentee about?

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