Group Mentoring: Mentee Check In (SP) Group Mentoring/BOC/BYM: Mentee Check In (MM2-SP) Mentee Name(Required) First Last Caseworker(Required) Dominica Hannaford Raheem Hurry Tyler Dunlop Program Type(Required) Bigs On Campus Black Youth Mentoring Group Mentoring ACTIVITIESWhat is your favorite activity so far?(Required)What is your least favorite activity so far?(Required)CONSISTENCYHave you missed any sessions? Why?(Required)Have your Mentors missed any sessions? Why?(Required)CONNECTEDNESSWhat do you tell others (parents, family, or friends) about the program, if anything?Are your Mentor(s) easy to talk to?(Required)Probe – Do you feel comfortable with them? Do you feel you could talk to them if something was bothering you?Do you feel comfortable participating in group discussions and activities?(Required)Youth-CentrednessDescribe how the program is going.(Required)Probe – On a scale of 1 to 10 (1 meaning “I want the program to end” and 10 meaning that “it is awesome”) how do you feel? Why? What might make it a 10 out of 10?Do you feel important and included in the group? Can you give me an example?(Required)Alternative Question – Do you feel listened to and heard by the Mentors and the rest of the group? Can you give me an example?STRUCTUREHave you ever felt unsafe, uncomfortable, or embarrassed in the program? Please explain.(Required)Have you seen your Mentor(s) outside of the program? Is so, why?(Required)DURATION & EXPECTATIONSWho would you talk to if you had questions or concerns about the program?(Required)Do you want to continue attending the program?(Required)If there is one thing you would like to change about the program, what would that be?(Required)EmailThis field is for validation purposes and should be left unchanged. Facebook Twitter Google+ LinkedIn