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* 1. Youth's name (Mentee)

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* 2. Your name (Mentor)

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* 3. Session Date

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* 4. Activity

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* 5. Session Time

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* 6. What was the number of hours for this session?

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* 7. How was the session?

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* 8. What goal(s) were worked on in this session? Please explain.

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* 9. What goal(s) will you work on next session?  Please explain.

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* 10. Do you have any other comments, questions, or concerns?

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