Mentor Questionnaire Form

The following contact information including questions cannot be copied or pasted, downloaded, printed, snap shot taken or saved in any form under any circumstances. All information is protected by FERPA Law and CSN rules and policies.

I understand the instructions provided.

Mentor: Review questions before hand to organize the conversation towards answering these questions. Please do not read the questions.

MENTOR INFORMATION
Nevada Promise Recipients need to complete two mentor activities for the 2019-2020 academic year. One to be completed by December 31 and the second to be completed by June 1.
MENTEE INFORMATION
Your Student ID (also known as your MyCSN ID or NSHE ID) is a 10-digit number assigned to you upon being admitted to the college. If you are unaware of what your Student ID is, please contact the Office of the Registrar at (702) 651-4060.
QUESTIONS

Instructions: Please share with us what topics did you explore with your mentee during your mentoring session. We do not expect you to have covered all these topics. However, you can use the questionnaire as a conversation starter during future meetings.

Check all that apply:
ADDITIONAL INFORMATION

Please provide as much information as possible:

Overall, how would you rate the academic courses you are currently taking? In the textbox below, please describe any highlights of your conversation. For example, “discussed the use of tutoring services to help with the math course he is struggling with”.

For Mentor Only: