Student Name:

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* 1. Student Name:

Age:

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* 2. Age:

Site Attending:

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* 3. Site Attending:

I have a mentor.

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* 4. I have a mentor.

What is your mentor's name?

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* 5. What is your mentor's name?

How often do you communicate with your mentor?

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* 6. How often do you communicate with your mentor?

My mentor truly cares if I come to school or not.

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* 8. My mentor truly cares if I come to school or not.

I feel comfortable talking with my mentor.

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* 9. I feel comfortable talking with my mentor.

My mentor helps me stay on track for graduation.

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* 10. My mentor helps me stay on track for graduation.

The LAP Monthly Plan/Calendar helps me set goals.

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* 11. The LAP Monthly Plan/Calendar helps me set goals.

My mentor contacts me about my attendance.

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* 12. My mentor contacts me about my attendance.

My mentor and/or LAP Monthly Plan/Calendar reminds me of events, reviews, and tests.

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* 13. My mentor and/or LAP Monthly Plan/Calendar reminds me of events, reviews, and tests.

My mentor is there when I need her/him.

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* 14. My mentor is there when I need her/him.

My mentor recognizes my efforts, improvements, and successes.

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* 15. My mentor recognizes my efforts, improvements, and successes.

My mentor helps me plan for the future.

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* 16. My mentor helps me plan for the future.

What do you like best about the TEAM Mentoring program?

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* 17. What do you like best about the TEAM Mentoring program?

What do you think would make the TEAM Mentoring program better?

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* 18. What do you think would make the TEAM Mentoring program better?

Would you like to have a different mentor next year?

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* 19. Would you like to have a different mentor next year?

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