Departmental Mentoring Program Student Data Report Form

Instructions: Please complete this form after finishing your mentoring experience and give it to your faculty/staff mentor.

Your First Name: Last Name:

Event: (please give a descriptive name)

Dates:

Your classification:

Gender:

First Major: Minor: Concentration:

Second Major: Minor: Concentration:

How much total time did you invest in this activity or event?

Days: Hours:

Which of the following best describes how well the orientation activities prepared you for this activity or event?

Is there anything that could be done to improve the orientation process?

Which of the following best describes how well the activity or event was organized?

Which of the following best describes your overall evaluation of the benefit of this activity or event to you?

How well did this activity or event accomplish its primary goals?

Do you have recommendations for improving the effectiveness of this activity or event for students who may participate in similar activities or events in the future?

Would you recommend this activity or event for other students?

     Please explain:

Did this activity or event help you gain a better understanding of your own strengths and abilities?

Did this activity or event make any difference in how you think about the way your faith can (or should) be put into action?

Did this activity or event make any difference in how you think about your own vocation or career?

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