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Pueblo Community College Adjunct Faculty

Mentor – Mentee Tracking Form

The table below has been developed in order to help us keep track of your meeting times. Please note that subject matter is not documented. Please refer to your Mentoring Guides for suggested activities and requirements. Adjunct instructors tracking will be based on 10 hours.

MENTOR_____________________________________________________________

DEPARTMENT ________________________ SS# ______________________________

MENTEE_____________________________________________________________

DEPARTMENT ________________________ SS# ______________________________

DATE TYPE OF CONTACT TIME
     
     
     
     
     
     
     
     
     
     
     
     
     
  Videotaping 1 (Recommended)  

Signature ______________________________________________ Date___________________

Mentoring Committee Receipt ? initials ____________ Date _________________________

Return completed tracking forms to the Administrative Assistant for the Mentoring Committee.

Revised 9/9/02