Mentoring Feedback Form

Provost Scholar Mentoring Feedback Form

This form is intended to provide a way to update the program about the progress of the Scholar(s) you are mentoring on Tuesday afternoons. Pleas take a moment to tell us what your Scholar(s) worked on and any areas of progress/concern.

If you are working with more than one Scholar, please submit this form for each student you are working with. If you are mentoring a Scholar with another mentor, we ask that each of you offer feedback on how you feel the Scholar is progressing.

Thank you so much for your quick response and dedication to the Program! - The Provost Scholars Team

Mentor Name *

Date of meeting *

Name of Provost Scholar *

Areas covered *

Math

Writing

Reading

Subject Area (please specify below)

Study Skills

Test Preparation

Other (please specify below)

Comments:

What aspects of the session seem to be going positively? What are the student's strengths? Where are they making progress? *

What aspects of the session seemed to be challenging? Is the student struggling with anything? How can we help? *

How would you rate your effectiveness as a mentor today with this student? *

Very Effective! The student responded well in our exchanges.

Mostly Effective. The student was occasionally distracted or withdrawn.

Neutral. The student seemed ok some of the time and was disinterested sometimes.

Mostly Ineffective. The student seemed detached for a good part of the time.

Ineffective. I don't seem to be able to connect with this student.

Comments:

How would you rate the effort and motivation of your student at this session? *

Very Motivated

Mostly Motivated

Neither Motivated or Unmotivated

Mostly Unmotivated

Very Unmotivated

Comments:

Please offer any additional feedback concerning this scholar

Thank you so much for taking the time to fill out this feedback sheet! This information helps us support you and your Scholar.

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