__ 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