ISM – Match Monitoring Contract 1 – Mentor ISM – Match Monitoring Contact 1 – Mentor Date of check-in:(Required) MM slash DD slash YYYY Name (email) of Mentoring Coordinator(Required) Brooke MacDonald Candace Johnson Kate Hadwin Sultan Sadaka Method of answering check-in questions: Email In-Person Meeting at school Telephone Conversation Virtual Meeting Website Link Program Site Braefoot Elementary Brentwood Elementary Brooklyn Elementary Craigflower Elementary Campus View Elementary Cloverdale Traditional School George Jay Elementary Marigold Elementary Quadra Elementary Queneesh Elementary Ruth King Elementary Salt Spring Elementary Saseenos Elementary Sundance Bank Elementary Southpark Elementary Valley View Elementary Vic West Elementary Other Location Match ParticipantsName of Mentor(Required) First Name of Mentee First 1. How do you think your mentoring relationship is going so far? Describe the connection/relationship with your mentee. 2. Are you meeting consistently? Any missed visits and why? Do you have any issues with scheduling or consistency and why? Are you anticipating any missed visits in the next few months? If yes, how will you communicate with your mentee?3. What activities have you done so far? Is it difficult to find space?4. Is your mentee engaged in the process of planning activities? Do you need any support in activity planning? Are there any activities/crafts/games that you would like to use with your mentee?5. How do you show you are interested in your mentee’s life?6. Does your mentee test boundaries? If yes, please elaborate. How do you respond? How do you set healthy boundaries with your mentee? How can we support? Have you ever been angry or frustrated with your mentee?7. Have you had any contact with your mentee outside of school (in person, email, social media)? Please elaborate8. Is there anything you need from the school/agency in the way of match support?9. Describe your experience at the school site. Do you think they are supportive of the match?10. Has your mentee ever told you anything concerning? If yes, what steps did you take to address the concern? Did you inform the school staff and agency?11. Do you have any child safety concerns?Is there anything else you want to discuss about the match?Person Completing the Form(Required) First Last Signature(Required)PhoneThis field is for validation purposes and should be left unchanged.
