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* 1. Student Name

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* 2. Age

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* 3. Site Attending

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* 4. My mentor contacts me: (Check all that apply)

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

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* 6. I feel comfortable talking with my mentor.

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

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* 8. The Monthly Calendar Plan helps me set goals.

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* 9. Tools for College has helped me with my future plans.

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* 10. My mentor contacts me about my attendance.

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

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

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

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

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* 15. What do you like best about the mentoring program?

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* 16. What would make the mentoring program better?

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* 17. Would you like to change mentors?

T