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IRSC Peer Mentoring Report
Contact Information
Peer Mentoring Date and Time - Starting:
*
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AM/PM
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Enter the date and time you started your mentoring session.
Peer Mentor's Name List
*
Nick Applyrs
Melissa Martin
Monserrath Martinez
Cristiana West
Select your name from the peer mentors drop-down list
Mentee's Name (Student):
*
First Name
*
Last Name
*
Means of Communication:
*
Face-to-Face
Telephone/Cell
Text
(check all that apply)
We Talked About:
*
Career Goals
Campus Life
Child Care
Classes
Employment
Family Life
Financial Aid
Food
Personal
Instructor(s)
Time Management
Transportation Issues
Other:
Other Value
(check all that apply)
Referral:
*
Academic Advisor
ASC Lab
Career and Transfer Services
Child Care
Faculty
Financial Aid
Food Pantry
Health and Wellness
LEAP Program
Student Support Services
Other:
Other Value
(check all that apply)
Comments and Feedback:
Peer Mentoring Ending Time:
*
Hour
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Minute
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AM/PM
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PM
What time did you finish your mentoring session?
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