• Student Enrollment Profile

    This has two sections. The first to be completed with the student. The second to be completed by the teacher or counselor.

  • Please interview the mentee and write in student responses to each stem.

  • The next section will require only teacher or counselor response

  • Possible 45-60 minute periods that student would be available for mentoring 1x/week:

  •  :
    TO
     :
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    TO
     :
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  • Should be Empty: