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Clear Sprint gs High School ISM- Mentorship Activity Log sna Fics weerot JO y | y 13 Student's Name: I Period: (Total Activity Hours for week: _2~ Rours_C) min. — Total Hours with Mentor for week: _|_'Kours QC) min Day/Time Detail of Mentorship Activities Activity | Mentor | Mentor Signature Hours | Hours (REQUIRED) | ‘MONDAY Date: jo /\/12 Time: TUESDAY | Date: 10/9/18 Powerpoint Time: & 100 -3.007 |-worked on mid-term wes eNtALION WEDNESDAY eaevieel wack infec+ dysuria Date: 16/3/12 Time:3°30 - 4245 or about urinary and \ THURSDAY Date10 /4/ 18 Time FRIDAY | 5 /)2 Date: Time “SATURDAY, pate: 10/0/18 |-rime | a SUNDAY | bate: 10/77 18 Time IMPORTANT: CH ‘Anes rue yurtima tothe nares haf (90 mins) + Your antor MUST sgn for actual mentorship das/novrs se sample page; Activity Lops iso the required mentr signatures) wll not be accepted for credit towards mentershia hours. + Youare expected to document and total BOTH ‘mentorship at east 3 hous) and “acy” (2 hous) + Mentorship Activity Logs ore dve EVERY Monday. (25peints each day late, ZERO after 2 63ys) + Students MUST show an average of3"mentorhio" hours per week for course cred {document when how you plan to make up the hours. You should stil document atleast 2 “activity” hours ‘You are expected to turn ina mentorship log each week, even you are unable 2o meet with vour mentor, Hf this is the case, please

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