Mentor Activity Report | Amachi Pittsburgh

Mentor Name*
First Last
Mentee Name*
First Last
Today's Date*
Relationship Code of the Month*
Please provide a relationship "Code of the Month" for you and your mentee based on your relationship this month only.
Comments (optional)
Please describe any activities that you and your mentee participated in this month, including in-person meetings, participation in Amachi program-wide events, phone conversations, emailing, etc. Use the activity categories (i.e., academic, sports) to describe what you and your mentee did together, and add comments to describe if applicable.
Activity 1: Date
Activity 1 Duration
Please enter a value between 0 and 24.
Please enter the number of hours spent together.
Activity 1 Category
Activity 1 Comments
Activity 2: Date
Activity 2 Duration
Please enter a value between 0 and 24.
Please enter the number of hours spent together.
Activity 2 Category
Activity 2 Comments
Activity 3: Date
Activity 3 Duration
Please enter a value between 0 and 24.
Please enter the number of hours spent together.
Activity 3 Category
Activity 3 Comments
Activity 4: Date
Activity 4 Duration
Please enter a value between 0 and 24.
Please enter the number of hours spent together.
Activity 4 Category
Activity 4 Comments
Did you and your mentee do anything towards achievement of your Match Goals this month? If so, what did you do?
Do you and your mentee need to set new Match Goals with help from the Mentoring Specialist?
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