WEEKLY MENTOR EVALUATION FORM

WALTER PANAS WISE PROGRAM

Student’s Name_________________________ Date________________

Mentor’s Name_________________________ Meeting #____________

PLEASE RATE EACH CRITERION ON A SCALE FROM 1-20(20 IS THE HIGHEST)

CRITERIA: The student….	SCORE
Attends scheduled meetings, is prompt, meets deadlines, and manages time effectively.
Makes required journal entries, demonstrates reflection by analyzing experiences and applying them to individual goals.
Is on target with research paper and presentation.
Takes work seriously, shows enthusiasm, and is pro-active.
Exhibits productive working relationships (problem-solves, effectively communicates, and has a positive attitude.
TOTAL NUMBER OF POINTS FOR THE WEEK

Please notify Mr. Evangelista or Ms. Witkin if a student is not fulfilling the necessary requirements.

Comments: ______________________________________________________________

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