ISM Mentor Wrap-Up Check-In Date of check-in:(Required) MM slash DD slash YYYY Name(email) of Staff Member completing check-in:(Required) Brooke MacDonald Candace Johnson Kate Hadwin Sultan Sadaka Other Method of answering check-in questions: Email In-Person Meeting at school Telephone Conversation Virtual Meeting Website Link Program Site Brentwood Elementary Brooklyn Elementary Cloverdale Traditional Craigflower Elementary Campus View Elementary George Jay Elementary Marigold Elementary Quadra Elementary Queneesh Elementary Ruth King Elementary Salt Spring Elementary Sundance Bank Elementary Saseenos Elementary South Park Elementary Valley View Elementary Vic West Elementary Match ParticipantsName of Mentee (first and last):(Required) First Name of Mentor (first and last):(Required) First Six ConditionsMake sure to include preparation for match closure. Consider the following: 1. Confirm that all matches wrap-up at the end of the school year; 2. Discuss what they may say to their mentee; 3. Talk about how they would like to celebrate their match; and 4. How are they feeling about saying goodbye and recognizing those natural feelings? REMEMBER: check-in with the mentor about each of the Six Conditions but case-note only what's not working, is not meeting expectations, needs follow-up or is exceptional!1. ActivitiesWhat activities have you been doing together each week? What were some of the highlights? What did you enjoy most about your time together?1A. Activity Expectations Meeting Expectations Not Meeting Expectations Safety concerns need to be addressed. Provide details above. 2. ConsistencyWere you both able to see each other every week? Probe: Are you happy with how often you’ve seen your mentee? 2A. Consistency Expectations Meeting Expectations Not Meeting Expectations Safety concerns need to be addressed. Provide details above. 3. Connectedness and ClosenessWhat did you like about each other?3A. Connectedness and Closeness Expectations Meeting Expectations Not Meeting Expectations Safety concerns need to be addressed. Provide details above. 4. Youth CentrednessWhat are some of the changes have you noticed in your mentee since you first met and what do you see as their strengths?4A. Youth Cenredness Expectations Meeting Expectations Not Meeting Expectations Safety concerns need to be addressed. Provide details above. 5. StructureHow can we make the Mentoring program better for next year? 5A. Structure Expectations Meeting Expectations Not Meeting Expectations Safety concerns need to be addressed. Provide details above. 6. Duration & ExpectationsFinish this sentence: Having a Mentee was . . . 6A. Duration Expectations Meeting Expectations Not Meeting Expectations Safety concerns need to be addressed. Provide details above. ISM Specific QuestionsIf the mentor has concerns or does not want to be matched with the same mentee next year, please provide details in box labelled "Additional information from mentor".1. Is there anything you want to talk about or do you have any concerns? No Yes 2. Would you like to be involved in the program again for the next school year? No Yes 3. Do you want to have the same mentee again for the next school year? No Yes Additional Information from mentorConclusion(Required) This was a healthy, growing relationship which progressed appropriately. There are no concerns for continuation. This was a struggling relationship that plateaued or needed intervention. There are concerns about continuation. Action Required:PhoneThis field is for validation purposes and should be left unchanged.
