SY1617 Mentoring Log

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1. Name:

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2. School:

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3. Select role:

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4. Select month:

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5. Weekly Meetings:

Date

Time

Date

Time

Date

Time

Date

Time

Date

Time

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6. Total number of hours met this month:

Less than 4

4-5

More than 6

If less than 4, please explain.

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7. Tasks/topics addressed this month:

	Check all that apply
Assessments	Assessments Check all that apply
Building Logistics	Building Logistics Check all that apply
Classroom Management	Classroom Management Check all that apply
Curriculum	Curriculum Check all that apply
Differentiation for specific populations	Differentiation for specific populations Check all that apply
Educator Evaluation	Educator Evaluation Check all that apply
Lesson Planning	Lesson Planning Check all that apply
Organization	Organization Check all that apply
Parent Communication	Parent Communication Check all that apply
Pedagogy	Pedagogy Check all that apply
Procedures/Routines	Procedures/Routines Check all that apply
Time Management	Time Management Check all that apply

Other (please specify)

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8. Which of the following activities did you participate in this month:

	Check all that apply
Mentee observed mentor	Mentee observed mentor Check all that apply
Mentor observed mentee	Mentor observed mentee Check all that apply
Facilitated observations (other educators)	Facilitated observations (other educators) Check all that apply
Conducted one-on-one meetings	Conducted one-on-one meetings Check all that apply
Attended School Support Team meeting	Attended School Support Team meeting Check all that apply
Exchanged written communication	Exchanged written communication Check all that apply

Other (please specify)

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9. Reflections on meetings this month:

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10. Next Steps/Areas of focus: