Evaluation by Student

Evaluation by Student
Quarter/Year*
Type of Mentorship*
Number of Units*
Student Name*

First NameLast Name
Student E-mail*
Mentor Name*

First NameLast Name
Mentor E-mail*
Your Experience
Did you complete at least 30 hours of independent work for each unit of this mentorship?

YesNoOther
Did you spend at least 3 hours for each unit of this mentorship engaged with your mentor in discussion of your work/topic?*

YesNoOther
Briefly describe the goals of your mentorship and summarize the actual experience*
Please rate your overall mentorship experience*
Would you recommend this mentor?*

YesNoOther
Additional Comments
Your Learning
Please rate yourself before and after the mentorship in the four areas below on a scale of 1-5:

1-3 Needs Attention
4 Meets Expectations
5 Exceeds Expectations
On a scale of 1-5, please rate your SELF on the following items BEFORE the mentorship*

Knowledge of the topic

Structure/Direction for project

Technical Skill

Overall Competency

Total: 0/ 20
On a scale of 1-5, please rate your SELF on the following items AFTER the mentorship*

Knowledge of topic

Structure/Direction for the project

Technical Skill

Overall Competency

Total: 0/ 20
Documentation
Please upload any written or visual documentation that you have created in the course of this project.

Upload a File
Hint: ctrl-click to add multiple files, or click button again to add files Cancelof
Do we have your permission to share these images and text on the Mentorship blog?*

YesNoOther
When you click submit, the text of this form will be emailed to you, your mentor, and the mentorship coordinator.
Should be Empty:

Evaluation by Student

Your Experience

Your Learning

Documentation