Mentor Activity Log

You MUST show an average of 2 "mentorship" hours per week

First Name

Last Name

Your Mentee's Name

Do you have mentorship activities and hours to submit?

Yes

Enter the start date of the week that you are recording mentorship activity hours.

How many total hours did you volunteer your time for the entire week? (Always round your time to the nearest half-hour/30 mins)

2 hours

Other

If 'Other', how many hours?

Detail of mentorship activities with the mentee:

Is there anything else you need to share with us?

Acknowledgement