All completed surveys will be entered into a drawing for a $50 Starbucks gift card!

Thank you for serving as an Academic Mentor to one of the students participating in the Academic Mentoring Program. We could not run our program without you. Your answers to the following questions will help us gauge the impact we are having on the students in the program and improve our training and program for volunteers and students. There are no right or wrong answers; please give us your honest feedback.

* 1. What is your first name?

* 2. What is your last name?

* 3. At what site are you serving as a BLAST academic mentor?

* 4. What is the FIRST name of the child/student you are mentoring?

* 5. What is the LAST name of the child/student you are mentoring?

* 6. What is the gender of the child/student you are mentoring?

* 7. What is the age of the child/student you are mentoring?

* 8. What is the grade level of the child/student you are mentoring?

T