Circle of Friends
Log Sheet
Mentor (Adult Name)
First Name
Last Name
Mentee (Child Name)
First Name
Last Name
Child's Goal (if known)
Date of Activity
What Activity did you do together?
How Many Hours did you spend together?
.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6+
Location - Choose all that apply
Circle of Friends
Sisters Elementary School
Sisters Middle School
Sisters High School
Other
Who else was present - Choose all that apply
Other CoF Youth
Sibling
Peer
Other CoF Mentor
Caring Adult
CoF Program Staff
Parent/Guardian
Other
Core Assets
Skills we are building
Core Assets - Choose all that apply
Mindfulness (awareness of what is happening around me; shows empathy)
Belonging (having personal identity and membership in a group, feeling accepted and appreciated)
Responsible Decision Making (making ethical, constructive choices about personal and social behavior)
Positive Relationship Building (getting along well with others and finding supportive people)
Spark (exploring and/or showing excitement for a passion and interest)
Self-Management (identify and manages own emotions, thoughts and behaviors)
Intermediate Outcomes
Things we talked about and/or observed
Social Development - Choose all that apply
Strong relationships with adults, peers, and community
Engages in positive co-curricular activities
Learning Success - Choose all that apply
Shows successful academic progress & performance
Creating, setting, and identifying short and/or long-term goals
Learning to navigate systems
Improved Physical & Emotional Health - Choose all that apply
Understands Healthy Nutrition
Engages in regular physical activities
Understands and uses physical and/or mental resources
Ethical Decision Making - Choose all that apply
Avoiding substance abuse
Engages in non-aggressive behavior
Avoiding poor social media and/or bullying behavior
Highlights to share!
If you have any pictures you would like to share with COF, you may upload them here
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Partial Enrolled Youth
Yes
If you have any concerns regarding your mentee or mentees family. Please email program staff.
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