2021 Mentor Verification Form

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Northgate High School

Senior Project Mentor Verification Form


Anthony Cole
4
Name of Student ______________________________________ Period ________

Interviews/Video with various education experts


Mentored Project _____________________________________________________________________________

As a Senior Project mentor, your final responsibility is to verify completion of your student’s work and to
pass his/her project. This is due by Tuesday May 8, 2018. Mentors may write additional comments on
the back of this sheet

1. Please check if you have seen the following documents:


x Your student’s Letter of Intent -- explains plans for Senior Project.
_____
x A Mentor Agreement -- explains your responsibilities.
_____
x A copy of your student’s Senior Project Research paper.
_____

Anthony has communicated with me every step of the way regarding his paper
Comments: __________________________________________________________________________________
and his project.
_____________________________________________________________________________________________
_____________________________________________________________________________________________

2. Please list dates you have met with student:


4/13
Date ___________ Discuss paper and research
Reason for Meeting ___________________________________________________
4/27
Date ___________ Review paper and sources
Reason for Meeting ___________________________________________________
5/11 Reason for Meeting ___________________________________________________
Date ___________ Discuss project/interviews

5/16
Additional meeting dates: ___________ ___________ ___________ ___________
Anthony and I have had consistent breakouts 1 on 1 in ZOOMs to review
Comments:___________________________________________________________________________________
his progress and to go over any questions/concerns.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. How did the project stretch or challenge the student’s abilities? Please assess the quality of the
project. Please make additional comments on the back if necessary:
Anthony has gone out of his comfort zone by reaching out to adults in MDUSD
for support and input on his topic.

x
4. Please verify that your student spent at least 20 hours on the project: Yes _____ No _____

Sam Kasdin
Mentor Name (please print) _______________________________Signature____________________________
Education specialist
Qualifications as mentor ______________________________________________
5/18/21 Telephone Number __________________Mentor’s
Date ___________ 510.520.6308 kasdins@mdusd.org
Email ___________________________

THANK YOU FOR YOUR ASSISTANCE!

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