Online Mentor Report Name Today's Date * Mentee / Mentor Mentee Mentee's Name * Mentee's Telephone Class # Mentee's Mailing Address Mentor Mentor's Name * Mentor's Telephone * Best Time to Call Mentor's Email * Mentor's Mailing Address Contacts Contact 1 Contact Date 1 * How Contacted 1 * Phone Face-to-Face Other Comments 1 Contact 2 Contact Date 2 How Contacted 2 Phone Face-to-Face Other Comments 2 Contact 3 Contact Date 3 How Contacted 3 Phone Face-to-Face Other Comments 3 Contact 4 Contact Date 4 How Contacted 4 Phone Face-to-Face Other Comments 4 Employment / Continuing Education Employment Employment Type Part Time Full Time Hours Worked (weekly) Date of Hire Employer's name Supervisor's Name Wages Phone Employment Notes Continuing Education Frequency Part TIme Full Time Continuing Education Type Votech College Job Corps Adult Education None Date of Enrollment Name of High School GED Yes No GED Date Education Notes Military Service Military Service Branch Army Navy Marines Air Force Coast Guard Enlistment Date Delayed Entry Date Recruiter's Name Recruiter's Number Military Service Type Active Duty Reserves National Guard Rank Current Military Address Military Notes Other Other Caregiver Homemaker Deceased Incarcerated Disabled/Hospitalized Apprenticeship Volunteer Seeking Employment Moved Out of State Law Violations Self-Employed Unknown Other Comments
