Clear Springs High School ISM- Mentorship Activity Log sudenesiiome Donn ela. Ailucste2 pros: 2 rota ast Hous or We weekot Ol, 2Z, 18 Day/Time Detail of Mentorship Activities ‘etivity Hours et: Zerours min € 2 rows) (MONDAY oxe: (/22/13 Time: TUESDAY Date: (/23/ig me Spm worked or menteshiP ROG 4 Ea owe Y2u[I8 me 4 - Bom, Worked OL ceeeting. now weebly, THURSDAY oe 1/25/13 Te Jat BY Sowpatients, Aiscussed Pinal gresevlodt Ow FRIDAY Deter Uzollz Time: “SATURDAY ow: 27 fig Time: ‘SUNDAY, owe 1/28/18 Time: IMPORTANT: ‘Always ound your time tothe nearest hal-hour (30 mins.) © Your mentor MUST sgn for actual mentorship days/hours (see sample page); Acthty Logs missing the required mentor signature(s will not be accepted for credit towards mentorship hours. x You are expected to document and total BOTH “mentorship” (at least 3 hours) and “activity” (2 hours) Mentorship Aetvty Logs are due EVERY Monday. (25points each day late, ZERO after 2 days) Students MUST show an average of 3 “mentorship” hours per week for course credit! ‘You are expected to turnin a mentorship log each week, even if you are unable to meet with your mentor. If thse the cae, please ‘document when/how you plan to make up the hours. You should sil document a east 2 “acti” hoursClear Springs High School ISM- Mentorship Activity Log studenesname DOVUQIL AACE rent: FE toa atwty Hous torweets Zeno min week ot O/ 279 18 TwalMours van Mewar foWeets BM min Day/Time Detail of Mentorship Activities ‘Retivity | Mentor | _ Mentor Signature Hours | Hours (REQUIRED) ‘MONDAY oare: 09/24) lp Time: TUESDAY one (y//20/18 Time: Th worred on. Weeldy ond owe 1 (3418 ool selti Te 5 orm ow GI mo oae: (2/1/13 | Fate patents with 08 2 -Spme- mentor Life . owe 2/19 Time: ‘SATURDAY one. 02/3]13 Time: pro worked on acHut oxe 92 UL 18 loo, curd OER Time: 1 IMPORTANT; ‘Always ound your time to the nearest half-hour (30 mins) Xo: ( ek ) four mentor MUST sign for actual mentorship days/hours [see sample page); Activity not be accepted for credit towards mentorship hours. {Logs missing the required mentor signature(s) wil ‘+ Youare expected to document and total BOTH “mentorship” (at least 3 hours) and “activity” (2 hours) ‘+ Mentorship Activity Logs are due EVERY Monday. {-25points each day late, ZERO after 2 days) ‘+ Students MUST show an average of 3 “mentorship” hours per week for course credit ‘+ You are expected to turnin a mentorship og each week, even if you are unable to mest with your mentor. Mf this s the case, please ‘document when/how you plan to make up the hours. You should stil document at least 2 “activity” hoursClear Springs High Schoo ISM- Mentorship Activity Log sutervsname: DomielO- AlucnteZ period: ota actu Hours for Weets i hos___min nto ey Sacer ener are Day/Time ‘Detail of Mentorship Activities ‘Activity | Mentor Mentor Signature ous bbe) (REQUIRED) _ oa one 2/5/13 wowwd orm mentor one: 2/6/18 yromck gL tee - bp aaa om 17108 Time: jee Son patents and 5 m8 Atswwssed final pope 2 fe | SaTunbay oa: 2/l0l 1g Time: SUNDAY vate: LLIB vo Nem =a hae S ‘Your mentor MUST sign for actual mentorship days/hours (ee sample page); Activity Logs missing the required mentor signatures) wil ‘not be acepted for credit towards mentorship hours. You are expected to document and total BOTH "mentorship" (at least 3 hours) and “activity” (2 hous) ‘+ Mentorship Activity Logs are due EVERY Monday. (-25points each day late, ZERO after 2 days) ‘Students MUST show an average of 3“mentorshis” hours per week for course credit + Youste expected to turn n a mentorship log each week, ‘document when/how you plan to make up the hours. pe ore Jounal | and on achut ion oh ven f you ae unable to mest wi Jou should still document at J-mentor, W this the ease, pleaseDoniola Alvar i . SB eone ee NOP with me sn clase foe alelie-Clear Springs High Schoo ISM- Mentorship Activity Log swuden’sname DCMMOles AWC? reves: 7% rr ace Hours for Wee: Zr weekot 2y (2) (R_ Total Hours with Mentor for Week: ours___min Day/Time_ Detail of Mentorship Activities ‘Activity | Mentor | Mentor Signature | | Hours | Hours (REQUIRED) 1 ‘MONDAY one: 2/2/13 Time a Wwolksd ove | < oe 211818 |v oorrent event — |= | me 2 -Spm- oae 2/(a tg Time: owe 2[1S[ig | 22% parents wit 2, Kase me 2-spr-| Master” | FRIDAY oe 2(l6l 8 Time: ‘SATURDAY bate: 2[17/88 Time: SuROR Worked ore Wweebl: me 21/3118) ond soorne 4 1 mo ~bpne conan, Xk OBEY ewes rund out tne othe erst lout (0 inst 1 sermcmor musta or acu mentosnpcop/ous eam pg Acti op ming te equted menor ar) rottesuaple a cost ones mean + You are expected to document and total BOTH “mentorship” (atleast 3 hours) and “acti” (2 hours) ‘© Mentorship Activity Logs are due EVERY Monday. (-25points each day late, ZERO after 2 days) ‘+ Students MUST show an average of 3 “mentorship” hours per week for course credit! + You are expected to turn in a mentorship log each week, evenif vou are unable to meet with your mentor. If hiss the case, please document when/how you plan to make up the hours. You should til document at east 2 “activity” hoursstudentstame CONN AMUWVOL seat weeror_Z y 14) 1B Clear Springs High School ISM- Mentorship Activity Log v Trea sey Hous tor weet, Z yrs Total Hours with Mentor for Week: B hours min Day/Time Detail of Mentorship Activities ‘Activity | Mentor Hours | Hours ‘Mentor Signature (REQUIRED) ‘MONDAY ae 2/14/18 Time: TUESDAY cae 24 20[18 tre Z — Bom worked or yid- tone Presetaleation. cind Gorin mr TE one 22113 Time: THURSDAY, are: 2.2218 mL - Som saw pation. with memo kK ms) 2le2he vue: 2/7318 Time: SATURDAY one: 2( 2418, Time: ‘SUNDAY oxe: 215118 te | = 2pm Worked on Journal enwee and attifucts 1 imporrant: Air round your inet the nearest hale 10 ma w x Check I ‘+ Your mentor MUST sgn for actual mentorship days/hour (see sample pagel; Activity Logs missing the required mentor signatures) will not be accepted for credit towards mentorship hours. ‘You are expected to document and total BOTH “mentorship” at least 3 hours) and “activity (2 hours) 4+ Mentorship Acthity Logs are due EVERY Monday (25paints each day late, 2ERO afte 2 days) “+ Students MUST show an average of 3 "mentorship" hours per week for course credit + You are expected to turn na mentorship log each week, even f you are unable to met ‘document when/how you plan to make up the hours. You should sil document a least “actty” hy th your mentor. Hf this is the case, pleaseWw Clear Springs High School ISM- Mentorship Activity Log Sweentsname DORIC AWAICE peso Total Activity Hours for Week be = wo weer ot _2 7 2b, 12 Total Hours with Mentor for Week: Mors mi penn. Day/Time Detail of Mentorship Activities ‘tity | Mentor | Mentor Signature aK Hours | Hours | (RequiReo) 29 ORDA Ue date: 2/26/13 pire nN Time TUESDAY » cae 2/27/18 - 2 an boothod on Keuisiny me 2/28/88 improving, ma-term Aver | of ne 3 “Yom Qoinr THURSDAY Sows patient WiWE Went me ollie | gia hes alot finu| rT ime US omy bresentotiove B. b& TETRA vate: 3/03] Q 4 4 Time: 4 | ournat on 21418 | pad eH ley | tne ~Spim waronrat BK COLO Your mentor MSL o aun mtr dn/hous be spl pte Activ asm headed mene apne * tbe a ted for credit towards mentorship hours. . Tainveoei acoman re Ga Bll eee fleas ope scr fb ‘SUNDAY serge try phe Sa ccie JST show an average of 3 “mentorship” hours per week for course credit! shite, < lancemctdteimianencniparsisteh entieesenc ee eth a tee ee * Youmeemetd eum amen id stil document atleast? "actly" hours, ‘document when/how you plan tomake up the hours. You shoISM- Mentorship Activity Log student's Name Daniela Alwewee Period: F_ Total Activity Hours for Week: _Z— hours_min weekot: 03, |F_) 18_ Total Hours with Mentr for Week: hours __min Day/Time Detail of Mentorship Activities ‘Activity [ Mentor | Mentor Signature vous | Wows | (REQUIRED) MONDAY owe:03/14/1g Time Tm one o3ofig | werned on research A ne 3 - Up WEDNESDAY owe 68/21/13 | wothod on (esearche { tine: 5 ben, Saw ents and y ome o3leolia | ec esearch, 2 | K fect Tine: 2 = 5 pn FRIDAY one:03/23 118 Time: ‘SATURDAY ove 0 3(24 [18 Time: absent ‘y Clear Springs High School [Sunpay vate: 0 3/251 18 Time: roma x K-Codeo ‘Always round your time tothe nearest hal-hour (20 mins) + Your mentor MUST sign for actual mentorship days/hous (se sample page); Atvty Logs missing the required mentor signatures) will ‘not be acepted for ereit towards mentorship hours, You are expected to document and total OTH "mentorship" (at least 3 houts) and “acy (2 hours) + Mentorship Activity Logs are due EVERY Monday (-25pomt each day at, ZERO ater 20) ‘Students MUST show an average of 3 “mentorship” hours per week for course credit You are expected to turnin a mentorship log each wee, even you are unable to meet with your mentor. If hiss the case please ‘document when/how you plan to make up the hours. You shoul tll document at east 2 “actty” hows Ls] ~~ Be repClear Springs High School ISM- Mentorship Activity Log Student's Name: Perio Total Activity Hours for Week; 2— Activity ca frs_min, week ot; OU, OZ) & Total Hours with Mentor for Week: = hours __min, Day/Time. Detail of Mentorship Activities Activity | Mentor | Mentor Signature Hours | Hours | (REQUIRED) MONDAY vate: OY /02 /Ig Time: TUESDAY Fheinkews owouloalta | gizthie, °% Theinewiow J T1380 -2: 36pm ee worked on more inkmiw oeeo4 [ou he tions ard on ueebly | Bom hth THURSDAY Ww jents and talkel ove ou/osfig about scheduling Final 3 tm 2-Spre_| Presentottove. ry t15/8 FRIDAY oae.04/ OG)12 Time: ‘SATURDAY oa OU/07 ig Time: | Sunoay owe Qu/ BNP Time: * Your mentor MUST sig for actual mentorship doys/hous (se sample pagel; Atty Logs missing the required mentor signatures) wit not be accepted for credit towards mentorship hours. You are expected to document and total BOTH "mentorship" (at least 3 hours) and “activity” (2 hours) "Mentorship Activity Logs are due EVERY Monday. (25poits each day late, ZERO after 2 days) Students MUST show an average of 3 “mentorship” hours per week for course credit! ‘document when/how you plan to make up the hours. ¥ wl document at leas 2 "acti ‘You are expected to turn in a mentorship og each week, event you are unable to meet with your mentor. this ithe case, pleaseClear Springs High School ISM- Mentorship Activity Log studensmame “Ant E | ye eos: 7 ~ “Total activ Hourstor week: Zrovfs min weet ot OF 1 OF 1/8 Total Hours with Menor or weet) Yours ___min Day/Time Detail of Mentorship Activities ‘Activity | Mentor | Mentor Signature iced | isoal| ma RecneDT { monoar le 4/4, HZ ™ 2 apt | TUESDAY wothed or inleniew ossigment worked on inleview 4 re ULO/I9 J i Holts | en invifehton, | melon aaa - one: 4/11/12 "raurspay — — not aly ‘ove U/12-Lp mae wie Ma ie Boe she Se one ff (3/12 make oat UI aay me Wafig |ome om [E18 Time IMPORTANT: ‘+ Always round your time tothe nearest hal-hour (30 mins) + Your mentor MUST sign for actual mentorship days/hous [see sample pagel; Activity Logs missing the required mentor sgnature(s will not be accepted for cred towards mentorship hours. ‘+ You are expected to document and total BOTH “mentorship” (atleast 3 hours) and “actiwty” (2 hours) ‘+ Mentorship Activity Logs are due EVERY Monday. (-25points each day late, ZERO after 2 days) ‘+ Students MUST show an average of 3 “mentorship” hours per week for course credit! x + Youare expected turin a mertorsiplogcch mek eh fas afeunabese mes wth ou-mene. sth ase, ese document when/how you plan to make up the hours. You shoud stl document at ieast2“actty" hoursClear Springs High School ISM- Mentorship Activity Log studen’stiome Danilo. Aut (2 Period: 7 Total Activity Hours for Weeks Z 4 weer of: OY » (& 18 Total Hours with Mentor for Week: = Y Day/Time Detail of Mentorship Activities ‘Activity [ Mentor | _ Mentor Signature Hours | Hours (REQUIRED) ‘MONDAY ome: OU/ISHIB Time: TUESDAY 7 ooe-0u 16/19 wothed on artifacts 4 Time: ‘WEDNESDAY a oae.ou/ tt [I Time: THURSDAY 5 ients ard talked ove: 64/18/18 ab een final prsentata, | 3 $0 Tire: 2.- Spm. FRIDAY rn oate: OY [20] 12 Time: SATURDAY — ong [21 [18 Time: NDA vate: OU | 22/18 time: 12 —Iphe anrked on gournol and Rehivity Log 1 IMPORTANT: x ‘© Always round your time tothe nearest half-hour (30 mins). + Your mentor MUST sign for actual mentorship days/hours (see sample page; Acthity Logs misting the required mentor signatures) wil not be accepted for credit towards mentorship hours. + You are expected to document and total BOTH “mentorship” atleast 3 hours) and “activity (2 hours) ‘+ Mentorship Activity Logs are due EVERY Monday, (25points each dy lat, ZERO after 2 days) ‘+ Students MUST show an average of 3 “mentorship” hours per week fr course credit ‘+ Youare expected to turnin a mentorship log each week, evenif you are unable to meet with your mentor, Mf hiss the case please document when/how you plan to make up the hours. You should stl documenta east 2 “attvty" hows,Dende reyes, wall, tae ot thehe -frern 2100 pry ver | s'00p™m: E\arcr yan ofale ‘UTMB PEDIATRIC ASSOCIATES AND FAMILY HEALTHCARE 6465 SOUTH SHORE BLVD. SUITE 500 LEAGUE CITY, TX 77573 PHONE 281-538-7735 FAX 281-538-3936 (U.CWde On hgClear Springs High Schoo ISM- Mentorship Activity Log stusen'sName_ Lada. Mvarce weer ot 04 / 23,18 Periods F Tota activiy Hours for weet: _Z. hoy Total Hours with Mentor for week: (>) urs ___min Day/Time Detail of Mentorship Activities ‘Retivity Hours Mentor Hours (REQUIRED) ‘Mentor Signature ‘MONDAY, one: 4 23/19 Time: TUBDAY one: U/24/g Time: | weoNéspay oaeul25113 Time: THURSDAY oxe: U/26/3 Time: Was to in aye one ‘FRIDAY oa: 4/21/18 Time: Wee loon thud fet See | seit ice oun, yr ue Wa b oF ret 36 ondary - whe SATURDAY oae: 4/28/12 product and Time: 5b — Spn worhtd on Finer preenlal 2 ‘SUNDAY oae: 4 /20/ Ig Time: IMPORTANT: ‘+ Always round your time tothe nearest half-hour (30 mins.) *+ Your mentor MUST sign for actual mentorship days/hous (see sample page): Activity Logs missing the required mentor signatures) wil not be accepted for credit towards mentorship hours, + You are expected to document and total BOTH “mentorship 9 fat least 3 hours) and “activity” (2 hours) ‘+ Mentorshyp Activity Logs are due EVERY Monday. (25points each day late, ZERO after 2 days), ‘+ Students MUST show an average of 3 "mentorship" hours per week for course credit! + Youare expected o turn in a mentorship log each week, even if you ae unable fo met with your mentor, Hths is the cas, pleate ‘document when/how you plan to make up the hours, You should sil document atleast 2"actviy= houts.Clear Springs High School ISM- Mentorship Activity Log ; stdensniame: NOMA. MOLE? pees ttatetyhous ter eee 2 tour min wear ot Ay 36, (3 Total ours win atentr or wee: OM min [ Day/Time Detail of Mentorship Activities ‘Activity | Mentor | Mentor Signature Hours | Hours (REQUIRED) | Monbay oae: U[0 lig me 2:20-5:3Q TRE owe: 511-112 Time: Says patients WEDNESDAY owe S [2] lp Time: THURS oae S13 118 | Scuw patients 3 r= Zp K Ligne FRIDAY one SU] 18 Time; SATURDAY one (S18 Time: SUNDAY % hod or ati om S/6L1g | ond Praised pene 7 Time: L IMPORTANT; { ‘+ Always round your time to the nearest half-hour (30 mins). * You mentor MUST sin for ats mentorship day/hours [ee sample pagel Atty Logs msing the required mentor lgnturel) wi ‘ot be accepted for credit towards mentorship hours, + You are expected to document an total BOTH “mentorship (atleast 3 hours) and “ectvty” (2 hows) ‘+ Mentorship Activity Logs are due EVERY Monday. (25points exch da late, ZERO after 2 dys) ‘+ Students MUST show an average of 3 “mentorship” hours per week for course credit! * Yow are expected o turn ina mentorship og each week, syenifyou ace unabe to meet with your mentor. 1 this the eas, please ‘document when/how you plan to make up the hours. You should stil document at east “a ~~