Intern Session Feedback
Name
*
Date of Visit
*
/
Month
/
Day
Year
Date
School
Alice Maxwell
Dorothy Lemelson
Double Diamond
Greenbrae
Katherine Dunn
Mt.Rose
Rita Cannan
Robert Mitchell
Session
Before School
After School
End Time
Start Time
Does the cabinet need supplies?
Mentor Attendance Sheets
Art Supplies
Flash Cards
Pens/ Pencils
Crayons/ Color Pencils/ Markers
Other
Was any student or mentor absent/ tardy?
Yes
No
If yes, please explain.
Briefly explain what was accomplished during the school visit. Are there any further details that 360 Staff should be aware of?
Upload Pictures of Mentoring Sessions
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