H.U.T.S. Weekly After-Session Report
Complete this report the same day as your HUTS group session, with specific, honest details for the reflection questions.
Session Information
Hub Name
Please Select
United In Christ Church
Exit Church
Living Water
InerG Impact
HUTS Group ID
Please Select
UIC-B1
EXIT-B1
LW-B1
INERG-G1
INERG-B1
Week Number
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Session Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
HUTS Phase
Please Select
Healing
Uplifting
Transforming
Strengthening
Session Type
Please Select
Group Coaching
Guest Speaker
Experience
Celebration
Weekly Theme
Session Held?
*
Yes
No
If Not Held, Reason
Mentor Names Present
Mentees Names Present
Session Start Time
Hour Minutes
AM
PM
AM/PM Option
Session End Time
Hour Minutes
AM
PM
AM/PM Option
Curriculum Fidelity
Curriculum Components Delivered This Session
*
Connect
Discover
Practice
Apply
Reflect
Multiply
Was the Learning Objective Met?
*
Yes
Partially
No
Youth Engagement & Reflection
These questions should be answered on a scale of 1 to 5. On this scale 1 will signify missing, struggling, or needing improvement. While 5 signifies mastery, ready to use, or doing well.
Overall Youth Engagement Rating
*
1
2
3
4
5
Did mentees take accountability?
*
1
2
3
4
5
Did mentees get involved in the group dynamic?
*
1
2
3
4
5
Did mentees share emotions?
*
1
2
3
4
5
Did we protect the emotions shared?
*
1
2
3
4
5
Was there a significant connection between mentors and mentees?
*
1
2
3
4
5
Did mentees make a meaningful connection between the information and its application?
*
1
2
3
4
5
Did we meet the objective of the lesson?
*
1
2
3
4
5
Was leadership shared well?
*
1
2
3
4
5
Family Connection Challenge Assigned?
*
Yes
No
Community Connection Challenge Assigned?
*
Yes
No
Guest Speaker / Experience Details
Guest Speaker Name and Topic (if applicable)
Experience Details (location, transportation, cost if applicable)
Safety & Debrief
Safety or Mandated Reporting Concern?
*
Yes
No
If Yes, briefly describe (a full Incident Report should also be filed separately)
Mentor Team Debrief Notes: what went well, what to adjust next time
Submitted By (Lead Mentor Name)
*
Submit Report
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