PERRY MENTORSHIP PROGRAM
MENTORSHIP CLASS PRESENTATION FORM

Student mentorship participant ___________________________________________________

Name of class to which presentation was made _______________________________________

Teacher's remarks:
         Please check if student completed during presentation:

         _____ Student explained what the mentorship program requirements, etc.

         _____ Student explained in detail what field, where, and with whom the mentorship was   
                      conducted.

         _____ Student shared mentorship experiences for 3-4 minutes.

         _____ Student provided an opportunity for classmates to ask questions.

Comments:

 

 

__________________________________________     _______________________________
Teacher Signature                                                                     Date

Please return this form to the student who will return it to the mentorship advisor.

Thank you for your cooperation with this program!