Student Evaluation

Student: _______________________ Mentor: _________________________

School: _______________________ Teacher: _________________________


Complete this side at the beginning of the school year Complete this side at the end of the school
Or when student enters the program. Year or when student leave the program.

BEHAVIOR: Excellent BEHAVIOR: Excellent
  Good   Good
  Average   Average
  Below Average   Below Average
  Poor   Poor

Explain: _________________________________ Explain: _______________________________



ACADEMICS: Excellent ACADEMICS: Excellent
  Good   Good
  Average   Average
  Below Average   Below Average
  Poor   Poor

Explain: _________________________________ Explain: ________________________________


ATTENDANCE: Excellent ACADEMICS: Excellent
  Good   Good
  Average   Average
  Below Average   Below Average
  Poor   Poor

Explain: _________________________________ Explain: ________________________________


Grade Assignment: __________________________________________________________

Please comment on any changes you have observed this year: _________________________________________________

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Please include any additional information or comments that will help us. We would also appreciate your personnel observations on the impact of the mentor.

__________________________________________________________________________

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