Mentor Progress Form
Student Name_________________________________________________________
I, ______________________________, certify that I am not a fellow student at
this or any high school and I am not a parent, close family member, or anyone else that
is closely related to this student.
Also, by initialing here, _______________, I certify that this student served the
hours documented in their log sheet with me or I over saw their direct work (see
attached log sheet).
Dear Mentor:
Thank you so much for volunteering your time to serve as a mentor. We
appreciate the time and effort you will spend or have spent with this senior as s/he
works hard to complete this graduation requirement. Since students select their own
projects, it is important that s/he explain the project to you, what s/he needs from you,
and how you will benefit from the experience (we hope). We ask that you fill out this
form to verify the student’s efforts in hours, attitude, behavior, and personal
management skills. Our goal is to make the student employable. Again, thank you.
Sincerely,
Vale High School Staff
Please fill out this information just as you would evaluate an employee in
your employment.
Yes
No
Mostly
Criteria
Arrived punctually and appropriately attired.
Behaved in a polite, professional manner.
Described the proposed project and its various components
to me.
Responded to my suggestions and feedback.
Seemed positive and committed to the project.
Asked for my ideas on his/her physical project and research
paper.
Shows responsibility by meeting deadlines and keeping
appointments.
I would not hesitate to hire this student in my employment if
I were in the position.
Rate the student in the following areas according to the following scale: 4=Exceeds
expectations 3=Satisfactory
2=Satisfactory, with supervision
1=Cannot perform satisfactorily
N/O=Not observable
Completed by
Student
Completed by
Mentor
Task or Skills
Accountable for decisions and actions.
Interacts appropriately with colleagues.
Demonstrated ability to plan, organize, and complete tasks on
time and meeting agreed upon standards of quality.
Demonstrates dress, appearance, and personal hygiene
appropriate to the environment.
Identifies tasks that need to be done and initiates actions to
complete them.
Reads technical/instructional materials for information and applies
the knowledge to specific tasks.
Speaks clearly to provide information and directions;
communicates appropriately for the environment and for the
intended audience.
Writes clearly and accurately; listens attentively.
Demonstrates ability to use technology appropriate to the field.
Demonstrates respect and flexibility in team situations; ability to
work as member of a team and such skills needed in a team
situation.
Able to connect academic skills and apply to work situation.
Understands how to plan and prepare for a career in this field.
Mentor’s Signature: __________________________________ Date: ______________
Comments:
Other adults who have assisted you with your project.
Name
Contact Information