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Mentor Exit Report
Date (mm/dd/yyyy):
Mentor's Name:
Mentor's email address:
Mentee's Name:
Your Mentor Advisor:
Describe your last meeting with your mentee.
Please tell me how your match ended.
Has this match moved into a further stage?
Second-stage mentorship: continued yet unstructured meetings
informal communication with Level Ground
Third-stage mentorship: friendship continued communication with mentee no particular communication with Level Ground
No contact expected
What were the things that really worked between you and your mentee?
What were the challenges you faced during this match?
Any story or anecdote during the course of the match that really made an impression on you / stuck with you?
What brings you the least satisfaction as a Mentor? These can be examples of your work with the mentee staff or advisor.
Lack of flexibility in my personal schedule
Response to questions seems to take quite long sometimes
Sometimes I wish my ideas for my mentee would fall on open ears
Never being able to prepare for what is next ... this week's issue is a non-issue next week
Working with Social Services
Worried my mentee needs more help than I can provide or pull together
What brings you the most satisfaction as a Mentor? These can be examples of your work with the mentee staff or advisor.
Just getting to know my mentee
Reaffirming previous experiences that people who have problems are not ignorant or evil
My mentee has very much changed for the better: They are sober much more positive and diesn't hesitate to ask me for help. We trust one another.
Stepping outside of my life for a brief period each week
The community
The relationship with my mentee
Hearing / sharing small steps in success
Mentor Advisor is helpful
Watching my mentee grow and come to a realization about the possibilities the excitement of life that there is hope
Working with Level Ground
What was helpful about the training including jail orientation initial training review board meetings and monthly meetings?
What do you wish you had known before the initial contact with your mentee?
How did the Level Ground staff support you during the match?
What further support would have been helpful?
What recommendations do you have about how Level Ground structures the program?
Would you like to mentor again?
On a scale of 1 to 5 (5 being the MOST satisfied) rate your satisfaction with having been a mentor.
1
2
3
4
5
Do not enter anything in this field:
Home
Welcome
The Need
Mentoring
FAQ
Rationale
Goals
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Contact
Level Ground, Inc.
| 4880 Lower Roswell Road, Suite 165-314, Marietta, GA 30068-4385 | phone: 678.856.7071 | email:
info@levelground.org
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