Magnus Court No. 100 D.I.M.E. Reporting Form
Please enter your youth activities/mentorship projects/events here
Name
First Name
Last Name
E-mail
example@example.com
Project/Event Info
Start date of project/event
*
-
Month
-
Day
Year
Date
End date of project/event
*
-
Month
-
Day
Year
Date
Participation
Enter Names of Participating Mentors - Daughters ONLY
*
Do not enter names of youth or nobility
Total # of Participating Mentors
*
Total # of Participating Mentees
*
Age Range of Mentees
*
7-10yrs
11-13yrs
14-18yrs
19-22yrs
Total # of Hours Spent with Mentees
*
Collaboration
Was this a joint Court/ Temple project/ event?:
*
N/A
Yes
No
Was this a collaborative project/ event with a non-masonic organization?
N/A
Yes
No
Name of non-Masonic Organization
Example: Girl Scouts, YWCA, elementary school, library, etc.
Brief description of project/ event
*
What was the outcome of your mentoring efforts?:
*
Feedback
How can the Imperial Mentoring Program Initiative assist in your mentoring efforts?
*
Submit Form
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