Clear Sprint
gs High School
ISM- Mentorship Activity Log
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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