P3 Fall Mentor Checklist

P3 Fall Mentor Checklist
Student Name*
Student UID*
Student Email*
example@example.com
Faculty Mentor Name*
Faculty Mentor Email’*
example@example.com
Required Documents
Please upload the following documents so your mentor can review them prior to your meeting.
Self-Awareness Reflection*

Browse Files

Cancelof
Career Planning Worksheet*

Browse Files

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Curriculum Vitae or Resume*

Browse Files

Cancelof
Professional Development Experience Logbook*

Browse Files

Cancelof
Professional Development Experience Check-In
Reflect on the professional development experience(s) you engaged in this semester or discuss the experiences you plan to pursue in the future.*
P3 Electives

List elective courses taken during your P3 Fall semester:

	Course Number	Course Title	Credit Hours
Course 1
Course 2
Course 3

List elective courses that you intend to take during your P3 Spring semester:

	Course Number	Course Title	Credit Hours
Course 1
Course 2
Course 3
Course 4
Course 5

Student Signature
Once this form is submitted, a copy of the checklist and all uploaded documents will be automatically sent to your faculty mentor. You will need to contact them by email to set up a meeting to discuss this mentoring checklist. Please note that faculty mentors have many demands on their time and students are expected contact their faculty mentor about scheduling this meeting at least two weeks prior to the submission deadline.
I Your Name (print name), have discussed each of the required items above with my professional development mentor(s).
Student Signature*

Clear
DATE*

MonthDayYear
Date
Student: Please skip to the end of this form to Submit your form now. A copy of your submission will be sent to your email and to your Faculty Mentor.
Mentor Meeting Discussion and Faculty Signature (this section will be completed by the faculty mentor during the meeting with the student)
The following items must be discussed during the faculty mentor meeting:
Professional Identity ReflectionCareer Planning WorksheetCurriculum Vitae or ResumeProfessional Development Experience LogbookFeedback on IPPE RotationsAcademic progressPlan for P3 Spring Electives
Mentor Comments (Optional)
By signing below, I am confirming that I have discussed and provided feedback on the above student's educational and professional goals.
MENTOR(S) SIGNATURE

Clear
DATE

MonthDayYear
Date
Please indicate whether or not the student contacted you at least two weeks prior to the submission deadline to schedule a meeting.

YesNo
Please verify that you are human*
Should be Empty:

P3 Fall Mentor Checklist

Required Documents

Professional Development Experience Check-In

P3 Electives

Student Signature

Mentor Meeting Discussion and Faculty Signature (this section will be completed by the faculty mentor during the meeting with the student)