District (please check one)
Caldwell Homedale Nampa Parma Vallivue
School Name:
Name : First Last
How old are you?
What grade are you in?
Did you know if your mentor was not coming? No Yes
Did you see your mentor?
Most of the time. Some of the time. None of the time.
How did you spend your time with your mentor? Please mark all that apply.
Games/activities/projects
Exercising/sports
Socializing/talking
School work/computers
Do you feel that having a mentor has helped you? No Yes
How did having a mentor help you? Please mark all that apply.
By talking about my problems. By sharing career ideas. By being nice/kind to me
By teaching me things
By making me feel cared about.
By listening to me.
Helped me improve my attitude at home and at school.
Helped me find ways to solve my problems.
Helped me express my feelings better.
Helped me see how important it is to help others and get along.
Helping me be more honest.
Are you interested in attending our FREE summer daycamp? YES NO Please make a selection.
Would you like to have a mentor again next year? No Yes
Mentors like to know you like them. Can you thank your mentor and tell them why you like them to come spend time with you?