Police Athletic League of Wilmington (PALW) 3707 N. Market Street Wilmington, D !"#0$ 30$%7&$%'!

70 (hank )ou for )our *u++ort an, intere*t in the Police Athletic League of Wilmington (PALW) Aca,emic Mentor Program. -n or,er to fin, .a)* to make the +rogram /etter, .e a*k )ou to take a fe. moment* to com+lete thi* *ur0e). 1our in+ut .ill /e greatl) a++reciate,. (Plea*e +rint.) Date2 33333333333333333 1our Name (o+tional) 33333333333333333333333 4hil,5* Name (o+tional) 333333333333333 6o. long ha* )our chil, ha, a mentor7 ! )ear $ )ear* 3 )ear* ' )ear* 8 )ear* 1e* No 1e* No

Doe* )our chil, ha0e the *ame mentor a* .hen he or *he *tarte, the +rogram7 Doe* )our chil, *eem a* if he or *he en9o)* the time *+ent .ith the mentor7 Doe* )our chil, (+lea*e check all that a++l))2 Seem ha++ier7 1e* No Seem le** angr)7 1e* 1e* 1e* 1e* 1e* 1e* No No 1e* No

:et along /etter .ith /rother*;*i*ter*7 :et along /etter .ith frien,*7 Li*ten /etter7 Work har,er on home.ork7 6a0e /etter *chool atten,ance7 Do /etter in *chool7 6a0e a /etter attitu,e a/out *chool7

No <eel /etter a/out him;her*elf7 No Seem more re*+on*i/le7 No Seem /etter /eha0e, at home7 No Seem /etter /eha0e, at *chool7 1e* 1e* No No more than & time* No more than & time*

1e* 1e* 1e* 1e*

No No No No

6a0e )ou met )our chil,5* mentor at *chool7 -f )e*, ho. man) time*7 once $=3 time*

'=& time* 1e* '=& time*

6a0e )ou met .ith )our chil,5* mentor at home7 -f )e*, ho. man) time*7 once $=3 time*

What ,o )ou think are the greate*t /enefit* )our chil, ha* recei0e, a* a re*ult of ha0ing a mentor7 What .oul, )ou *ugge*t a* a +o**i/le acti0it) for mentor*, mentee* an, their familie*7