Full Summary of Volunteer Involvement – CB 1:1 Rematch Full Summary of Volunteer Involvement – CB 1:1 Rematching Reassessment This form must be completed by a qualified Caseworker before rematching a previously matched Community-Based 1:1 Mentor. Name of Volunteer(Required) First Last Preferred Name (if applicable) Name of primary Caseworker for Volunteer(Required) First Last Owner in SDP.Caseworker Completing Full Summary of Volunteer Involvement(Required) Devinder Budhram Dominica Hannaford Jen Dalziel Joanna Pereira Raheem Hurry Sophie Mercer Tara Paterson Tyler Dunlop Date(Required) MM slash DD slash YYYY 1. Summarize the mentoring relationship(s) in which the volunteer has engaged. Document any strengths and concerns.(Required)BE SURE TO COVER: How many matches? What programs? How long were the matches? Why did they close?2. Review the information related to the volunteer’s individual and match file(s). Please check any of the following that apply:(Required) Child/youth safety concerns Mentor’s stated motivation and expectations were unrealistic and did not align with the program Mentor’s statements, actions, or approach demonstrated a lack of understanding about their role Mentor did not consistently follow through with commitment Mentee was not able to rely on the Mentor Mentor debated or broke agency policies and procedures or family guidelines Mentor demonstrated inappropriate boundaries Changes in the Mentor’s life negatively impacted the relationship and may continue to impact the next relationship Mentor expressed or demonstrated damaging or negative attitudes Mentor ended the relationship in an unhealthy way Mentor did not appear to foster a close relationship or engage the youth in age-appropriate ways Mentor did not access supports and referrals (if offered by the Service Delivery Staff) Other significant issues arose in the mentoring relationship that needed to be addressed There were no concerns. 3. Please provide examples and rationale to corroborate the above. Document any strengths and concerns.(Required)Details must be provided for any checked boxes. Final AssessmentSelect the appropriate response.(Required) Based on all available information assessed, there appear to be no concerns, and the applicant can be rematched as per request. Based on all available information assessed, the applicant should be rematched in a different program. Based on all available information assessed, the applicant should not be rematched. Elaborate.(Required)Provide reasons.(Required)Signature of staff conducting Full Summary of Volunteer Involvement.(Required) Share: Facebook Twitter Google+ LinkedIn
