PHENOM Mentor Activity Log Question Title * 1. Name; E-mail Question Title * 2. If CHES or MCHES, provide your number Question Title * 3. Date of Contact Date / Time Date Question Title * 4. How were you contacted? E-mail In-person Other Other (please specify) Question Title * 5. Mentee geographic location Question Title * 6. If available, mentee demographics (age, gender,etc.) Question Title * 7. Length of contact (in minutes) Question Title * 8. Mentoriing Activity Academic advice Career advice Professional expertise Other (please specify) Question Title * 9. Describe the mentoring activity Question Title * 10. Questions, comments, etc. Done