Group Mentoring/BOC/BYM: Mentee Check-In 1 Group Mentoring/BOC/BYM: Mentee Check-In 1 Name(Required) First Last Please select your city:(Required) Brampton Mississauga Please select your age:(Required) 10-12 13-15 16+ Please select the name of your Caseworker.(Required) Kyrel Thompson Michael Donia Raheem Hurry Tyler Dunlop Please select the name of the group program you are currently involved in.(Required) Bigs on Campus Black Youth Mentoring Group Mentoring Which post-secondary school is the program taking place?(Required) Sheridan College University of Toronto Mississauga What activities have you been enjoying in the group?(Required)What activities are your least favourite so far?(Required)What do you like most about attending the group?(Required)Have you missed any sessions since we started?(Required) Yes No If you answered 'Yes' to the previous question, why did you miss the sessions?(Required)Using three words, describe your relationship with the other Mentees in the group.(Required)Using three words, describe your relationship with your Mentors.(Required)Which Mentors do you enjoy talking to?(Required)Do you feel important and included in the group?(Required) Yes No If you answered 'No' to the previous question, please explain why you do not feel important or included in the group.(Required)Have you ever felt uncomfortable or unsafe in the group?(Required) Yes No If you answered 'Yes' to the previous question, please explain why you felt unsafe, uncomfortable or embarrassed in the group.(Required)Have you ever had any contact with the Mentors outside of arranging for group sessions?(Required) Yes No If you answered 'Yes' to the previous question, please explain why you spoke with or spent time with your Mentors outside of the group.(Required)Have you ever had any contact with any of the Mentors outside of the group?(Required) Yes No If you answered 'Yes' to the previous question, please explain why you had contact with your Mentors outside of the group.(Required)Would you change anything about the group? Are there any activities you'd like to try?(Required)Who would you talk to if you had any questions or concerns about the group?(Required)Would you like to continue in the group until the end of June?(Required) Yes No Maybe Would you like to continue in the group until the end of March?(Required) Yes No Maybe Would you like to continue in the group until April?(Required) Yes No Maybe Do you have any additional comments or questions that you would like to share? If so, please indicate them below.PhoneThis field is for validation purposes and should be left unchanged. Facebook Twitter Google+ LinkedIn
