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__ Student's Name: week of: Clear Springs High Schoo ISM- Mentorship Activity Log Nor A Aa Period:_| Total Activity Hours for Week: _.3 hours __mi Total Hours with Mentor for Week: 22 hours _min, Day/Time| Detail of Mentorship Activities Aativity, Hours Mentor Hours: Mentor Signature (REQUIRED) bate: | Time: MONDAY, Lork on dyet Of (4 Geeta ho Date: Time: TUESDAY ‘WEDN Date: | ( Time: AY 0k ate: Time: THURSDAY FRIDAY Date: os 6 Time: 4-6 LEA Le, Date: Time: ‘SATURDAY SUNDAY ‘Always round your time to the nearest half-hour (30 mins) ‘Your mentor MUST sign for actual mentorship days/hours (see sample p: not be accepted for credit towards mentorship hours. age); Activity Logs missing the required mentor signature(s) will You are expected to document and total BOTH “mentorship” (atleast 2 hours) and “actvty”(3 hours) "Mentorship Actiity Logs are due EVERY Monday. (-25points each day late, ZERO after 2 days) Students MUST show an average of 2 “mentorship” hours per week for ci ourse credit! ‘You are expected to turnin a mentorship log each week, even if you are unable to meet with your mentor. if thisis the case, please document when/how you plan to make up the hours. You should stl document at least 3 “activity” hours

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