Group Mentoring/BOC/BYM: Mentor Check-In 1 Group Mentoring/BOC/BYM: Mentor Check-In 1 Name(Required) First Last 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 mentoring in.(Required) Bigs on Campus Black Youth Mentoring Group Mentoring Which post-secondary institution are you mentoring at?(Required) Sheridan College University of Toronto Mississauga What activities has the group been enjoying?(Required)Tell me about some of the topics of conversation within the group. Do the Mentees seem willing to participate in these conversations?(Required)Have you had any challenges following through on your commitment?(Required) Yes No If you answered 'Yes' to the previous question, what have the challenges been?(Required)Has the Mentees' attendance been consistent?(Required) Yes No Do you feel you are forming a connection with the Mentees?(Required) Yes No Maybe If you answered 'Yes' to the previous question, please describe the connection you have developed with the Mentees. You can speak to the connection you have developed with a specific Mentee or the connection you have to the Mentees in general.(Required)If you answered 'No' to the previous question, please explain.(Required)If you answered 'Maybe' to the previous question, please explain.(Required)Do you feel appreciated and respected by the group?(Required) Yes No If you answered 'No' to the previous question, please explain why you feel unappreciated and disrespected by the group.(Required)Have you noticed any positive changes in any of the Mentees? Can you give an example?(Required)Do you feel you are positively influencing the Mentees' lives?(Required) Yes No Maybe Have you had any contact with a Mentee outside of arranging the group meetings?(Required) Yes No If you answered 'Yes' to the previous question, please explain why you have contact with a Mentee.(Required)Do you have any concerns related to the Mentees safety?(Required) Yes No If you answered 'Yes' to the previous question, please explain the concerns you have in regards to the Mentees safety.(Required)How do you set boundaries with your Mentees?(Required)Do you feel supported by the agency?(Required) Yes No Using three words, describe the group dynamics among the Mentees.(Required)Are your expectations as a Mentor being met? How or how not?(Required)Are you anticipating any changes in your schedule over the remaining group year?(Required) Yes No If you answered 'Yes' to the previous question, please explain the changes you are anticipating to your schedule.(Required)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
