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SAN PEDRO COLLEGE – STUDENT MENTORS’ GROUP

MENTOR’S REPORT SHEET


SY 2010-2011
“Mentoring the Mind, Serving with Heart”

Mentors’ Name: ________________________________ Course/Year/Section: ________________________

FIRST SEMESTER
1. Mentee’s Name: ___________________________ 2. Mentee’s Name: ____________________________
Course/Yr/Sec: _____________________________ Course/Yr/Sec: ______________________________
Signature: ______________________________ Signature: ______________________________
Subject: _______________________________ Subject: ______________________________

MONTH DATE/SIGN DATE/SIGN DATE/SIGN DATE/SIGN DATE/SIGN DATE/SIGN


JULY

AUGUST

SEPTEMBER

OCTOBER

SECOND SEMESTER
2. Mentee’s Name: ___________________________ 2. Mentee’s Name: ____________________________
Course/Yr/Sec: _____________________________ Course/Yr/Sec: ______________________________
Signature: ______________________________ Signature: ______________________________
Subject: ______________________________ Subject: ______________________________

MONTH DATE/SIGN DATE/SIGN DATE/SIGN DATE/SIGN DATE/SIGN DATE/SIGN


NOVEMBER

DECEMBER

JANUARY

FEBRUARY

MARCH

Note: First row of every month is intended for your first mentee. Hence, in case you have a second mentee,
then second row follows for him/her. At the end of the semester, you are required to pass this mentor’s report
together with the evaluation report.
SAN PEDRO COLLEGE – STUDENT MENTORS’ GROUP
EVALUATION REPORT SHEET
SY 2010-2011
“Mentoring the Mind, Serving with Heart”

Mentor’s Name: _________________________________ Subject of Expertise: ___________________


Course/Year/Section: _____________________________ Date: _______________________________

Mentee’s Name: _________________________________ Grade in Prelim: __________


Course/Year/Section: _____________________________ Grade in Midterm: __________

I. OBJECTIVES

II. TARGET ACTION PLAN

III. ACTUAL ACTION TAKEN

IV. RESULTS

Note: Report must be in a paragraph form. This may be computer-written or not. You are required to
pass this report not later than the scheduled final exams for both first and second semesters of the
school year. This is a prerequisite for signing of the clearance.

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