Full Summary of Volunteer Involvement Full Summary of Volunteer Involvement Volunteer Name(Required) First Last Staff Member Name(Required)Alexis MiedemaAlysha VivianBrooklyn DavidsonCandace JohnsonGillisha WharfJulia RossKait BurnsSarah NeilsonSultan SadakaDate MM slash DD slash YYYY 1. Summarize the mentoring relationships in which the applicant has engaged. How many? What programs? How long were they? Why did they close? Document any strengths and concerns.(Required)2a. Review the information related to the volunteer’s individual and match file(s). Please check any of the following that apply:(Required) Child/youth safety concerns Mentor’s stated motivation and expectations were unrealistic and did not align with the program Mentor’s statements, actions, or approach demonstrated a lack of understanding about their role Mentor did not consistently follow through with commitment Mentee was not able to rely on the mentor Mentor debated or broke agency policies and procedures or family guidelines Mentor demonstrated inappropriate boundaries Changes in the mentor’s life negatively impacted the relationship and may continue to impact the next relationship Mentor expressed or demonstrated damaging or negative attitudes Mentor ended the relationship in an unhealthy way Mentor did not appear to foster a close relationship or engage the youth in age-appropriate ways Mentor did not access supports and referrals (if offered by the Service Delivery Staff) Other significant issues arose in the mentoring relationship that needed to be addressed None of the above, no concerns. 2b. Please provide examples and rationale to corroborate the above. Document any strengths and concerns.(Required)Final Assessment: Full Summary of Volunteer InvolvementFinal Assessment: Full Summary of Volunteer Involvement(Required) Based on all available information assessed, there appear to be no concerns, and the applicant can be rematched as per request. Based on all available information assessed, the applicant should be rematched in a different program. PLEASE ELABORATE BELOW. Based on all available information assessed, the applicant should not be rematched. PLEASE STATE REASONING FOR DECISION BELOW. Please provide examples and rationale to corroborate the above. Document any strengths and concerns.(Required)Signature of person conducting the Full Summary of Volunteer Involvement(Required)
