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University Note:
Students:
H1N1 Flu Service Information, Resources & Self Reporting Form
Mentee Evaluation Form
Let us know about your experience with the Meet-a-Mentor program.
Preferred Contact Time (Please Leave This Section Blank)
M-F Daytime (9am - 5pm)
M-F Evening (5pm - 9pm)
Weekend
Mentee Evaluation Form
Your name:
Your Email Address:
Name of Mentor you met with:
Date of your meeting/conversation:
Location and length of meeting/conversation:
Please summarize your meeting with the mentor in terms of its value to you:
Overall, how would you rate your experience?
Excellent
Good
Fair
Poor
Suggestions for improvement to the Meet-a-Mentor program:
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