Northgate High School

Senior Project Mentor Verification Form

Andrew Wong
Name of Student ______________________________________ Period ________

Mental Health Wellness Survey for High School Students

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.

Comments: __________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

2. Please list dates you have met with student:

4/24
Date ___________ Interview
Reason for Meeting ___________________________________________________
5/18
Date ___________ Emails
Reason for Meeting ___________________________________________________
Date ___________ Reason for Meeting ___________________________________________________

Additional meeting dates: ___________ ___________ ___________ ___________

Comments:___________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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:
It is obvious that Andrew took the time to find research and make comparisons of how the pandemic has impacted high
school student's academic performance and mental health pre and post pandemic. He spent a lot of time on the research
and asks meaningful and relavent questions in his survey. He also had a great interview questions.

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

Kristen Bligh Email to Mr. Wood

Mentor Name (please print) _______________________________Signature____________________________
School Counselor
Qualifications as mentor ______________________________________________
5/20
Date ___________ 408-348-6967
Telephone Number __________________Mentor’s Kfumia@gmail.com
Email ___________________________

THANK YOU FOR YOUR ASSISTANCE!