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Mentor Communication Report
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Mentor Communication Report
Mentor Communication Report
Ron MacDonald
2023-02-08T13:22:14-05:00
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1
Step 1
Mentor Communication Report
Date
date_range
Mentor
Mentor's full name
Mentee (Client)
Mentee's full name
DOC#
Have you communicated with your mentee in any of the following ways this week?
Check all that apply
In-person ACJ Visit
In-person Community Meeting
PIRC Meeting
Virtual Visits
Written Letters
Emails
Phone Calls
Texts
Other
No Contact this Week
Other Means of Communication Utilized
Reason for No Contact
(e.g. none scheduled, ACJ lockdown, mentee not available, etc.)
Approximately how many hours have you spent mentoring this week?
Please consider time spent utilizing all of the above methods of communication.
0
/
Please share one mentoring experience from this week.
This could be a moving conversation, problem solving moment, challenge, evidence of growth, etc.
0
/
Please suggest mentoring topics that you would like to receive more information about or discuss at an upcoming mentor meeting.
0
/
Please check if you need
any of the following:
Check all that apply
Blue Forms
Visit Report
Follow-up with Mentor Program Staff
IF YOU HAVE ANY QUESTIONS OR NEED ASSISTANCE
AfterCare Office: 412-321-3343
Barb Kralik, Mentor Coordinator:
bkralik@foundationofhope.org
SUBMIT FORM
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