Clear Springs High Schoo ISM- Mentorship Activity Log students Name: EShaA Aly period: 14+ total activity Hours for Week: 2 _péars_0- min Week of: a 7 le Total Hours with Mentor for Week: 3” hours _O_ min Bey Day/Time Detail of Mentorship Activities ‘Activity | Mentor | Mentor Signature Hours | Hours (REQUIRED) MONDAY Date: O1/ 2A IS Time ESDAY = saw check-up 5, pbserved pare 1/22/16 | fiv -reays tae gioo- [7 #4 Infectvan visite G00 ome: 1/2301 Time: THURSDAY pare: | / 24 11g Time: FRIDAY vatel/25 1% Time: SATURDAY. |oae: 1/26/18 Time: | sunpay ~comprerck “youvnak ones 1/24/06 ¢ | Unery Time: 4.po- GD | ~ WOrKeA on Weebly iaeoRran 7a + Youcmentor MUST sign for actual mentorship days/hours (see sample page); Activity Logs milsing the required mentor signatures) wit ‘ot be accepted for credit towards mentorship hours. + Youare exzected 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? days), Students MUST show an average of 8 “mentorshia” hours per week for course credit Youare expected to turnin @ mentorship log each week, even fyou are unable to meet with your mentor Hf this i the case, please document when/how you pian tomake up the hours, You should still document a least 2 “activity” hours,Clear Springs High School ISM- Mentorship Activity Log = hours student's Name EShaA Al eriod: $+. Total Activity Hours for Week Week of 28 y 14 ‘Total Hours with Mentor for Week: 2. hours _ min, Day/Time Detail of Mentorship Activities ‘ativity | Mentor | Mentor Signature | Hours | Hours (REQUIRED) —_— ea Opsewedr infant pote: (J 26)14 | ChEeCE-YPS, Saw test) | ™ 2 time: 4go- | treatment for five & 00 TUESDAY ome 24/14 Time ‘WEDNESDAY pate: 1) B6}24 Time: THURSDAY Date: | (1/14 Time: FRIDAY vate: 2/1 (14 Time: SATURDAY bate 2/2/14 Time: una Did Journal post, ore 2/3/14 | wort aA om weebly z Tne 5 100 SSP | IMPORTANT: x ‘+ Always round your time tothe nearest hal-hour (20 mins). _| Your mentor MUST sign for actual mentorship days/hours {see samole page), Activity Logs missing the required mentor signatures) will not be accepted for credit towards mentorship hours. ou ae expected to document and total BOTH "mentorship atleast 3 hours) and “activity” (2 hours} ‘Mentorship Activity Logs are due EVERY Monday. (-25pomnts 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 ina mentorship log each week, aven you are unable 19 mee nih your mentor, If his isthe case, please ocument when /how you plan to make up the hours. You should stil document at least? “activity” hours.| Clear Springs High School | ISM- Mentorship Activity Log / caterer eee eee Ay ee ee eee ae Weekot 2 y 4 y 19 ‘Total Hours with Mentor for Week: _S_hdtrs U__+ | Day/Time Detail of Mentorship Activities Activity | Mentor Mentor Signature Hours | Hours (REQUIRED) monpay Dbserved infant chict-ue i a of? pate: 2/4 (14 2 | UY Time: 49.0 ~ 2 G@ +00 icin (eee Sam Checr-ups, fy i ee ) Date 2/5/14 visits 2 3 Cart i » APHD check ups Uy : Time: 4.00 — - E800 ‘? WEDNESDAY me 2/G/1 4 Time: THURSDAY Date: 247| 14 Time: FRIDAY Date: 2/ 8/1 q Time: SATURDAY pa 2/4/14 Time: on - Journal ee date io/IF | — worked on wecbly 2 Time: OO €.00 ‘© Yourmentor MUST sign for actual mentorship days/hours (ee sample pagel; Activity Loge miszing tre required mentor signeture(e wil not be accepted for credit towards mentorship hours. ‘+ Youareerpected to document and total BOTH “mentorship’ (at least 3 hours) and “activity” (2 hours) ‘+ Mentorship Activity Logs ae due EVERY Monday. (-25points each day ate, ZERO after 2 days) ‘© Students MUST show an average of 3 “mentorship” hours per week fr course credit ‘+ Youare expected totum ina mentorship log each weet, even if ou ae unable to meet with vour mentor, this isthe case, please document when/how you plan to make up the hours. You should stil document atleast 2"