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Img 20160121 0001
Img 20160121 0001
Please write the date, time, and a BRIEF description of worl</activities cornpleted in each contact with the student.
THANK YOU FOR YOUR SUPPORT OF OUR STUDENTS! WE APPRECIATE YOUR TIME AND
EFFORT!
Student:
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Mentor:
Kf
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Topic:
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Partner:
Hf. H i cha e\
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(YOU MAY MORE OR LESS THAN THE NUMBER OF MEETINGS LISTED BELOW)
Meetine One
o""'
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hours
Description of meeting:
Description of meeting:
Meeting Three
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Description of meeting:
hours
Meeting Four
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hours
Description of meeting:
L:r*r.n
Meetins Five
o,t", ial2
[,f
hours
Description of meeting:
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"\ (t
/ / i[p
Meetins Six
o",",
Description of me'eting:
('1
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