 This PowerPoint is designed to give you a clear understanding of all of the components within the Monthly Mentor Report (MMR).

Employment Pay Stub (attached) Employer: Supervisor Name: Phone: ( ) - Work Phone: ( ) / Hiring Date: / / Full Time Part Time Hours per week: Wage Rate: $ per Hour Week Month Termination Date: / / Reason for Termination: Education School Schedule or Admission Letter (attached) School: Subject of Study: Type: High School 2yr College 4yr College Tech/Voc School Job Corp AmeriCorps Start Date: / / End Date: / / Has the Cadet received a scholarship? Yes No Amount: $ From whom? Volunteer/Misc. Projects Volunteer Letter (attach) Location: Point of Contact Name: Phone: ( ) - Hours per week: Wage Rate: $ per Hour Week Month Commission: Responsibility: Military Enlistment Papers (attach) Branch: ANG ARNG USA USAF USCG USMC USN Status: Active Reserve National Guard Enlistment Date: / / Basic Training Ship Date: / / Delayed Entry Date: / / Mentor Report for the Month of Post Residential Advisor: Garrigus Perkins Morris Richardson Date: / / Class: Mentor: Cadet: Has the P-RAP been modified? Yes No Contacts Please list specific dates for each contact made during the month. Face to Face: Phone: /Text: Facebook: Mail: Other: Has there been at least four hours of contact with the cadet this month? Yes No Which best describes your mentoring relationship? Just Forming Norming Storming Performing In a rut Non-existent Change of Contact Information Cadet Mentor Parent/Guardian Phone: ( ) - Address: Please describe new placement activities and attach appropriate verification to this report. Observations and Updates: This is what the Monthly Mentor Report form looks like.

Mentor Report for the Month of Post Residential Advisor: Garrigus Perkins Morris Richardson Date: / / Class: Mentor: Cadet: Has the P-RAP been modified? Yes No Contacts Please list specific dates for each contact made during the month. Face to Face: Phone: /Text: Facebook: Mail: Other: Has there been at least four hours of contact with the cadet this month? Yes No Which best describes your mentoring relationship? Just Forming Norming Storming Performing In a rut Non-existent Change of Contact Information Cadet Mentor Parent/Guardian Phone: ( ) - Address: Please describe new placement activities and attach appropriate verification to this report. Observations and Updates: Place the name of the month you are reporting on. For example you may be reporting on the contacts for the month of January. Each report is due the first week of the new month. January’s report will be due the first week in February.

Mentor Report for the Month of Post Residential Advisor: Garrigus Perkins Morris Richardson Date: / / Class: Mentor: Cadet: Has the P-RAP been modified? Yes No Contacts Please list specific dates for each contact made during the month. Face to Face: Phone: /Text: Facebook: Mail: Other: Has there been at least four hours of contact with the cadet this month? Yes No Which best describes your mentoring relationship? Just Forming Norming Storming Performing In a rut Non-existent Change of Contact Information Cadet Mentor Parent/Guardian Phone: ( ) - Address: Please describe new placement activities and attach appropriate verification to this report. Observations and Updates: Please check mark or circle your Cadets Post Residential Advisor. This is the person that the report has to go to. Also place the date you are submitting the report and the class your cadet graduated in.

Mentor Report for the Month of Post Residential Advisor: Garrigus Perkins Morris Richardson Date: / / Class: Mentor: Cadet: Has the P-RAP been modified? Yes No Contacts Please list specific dates for each contact made during the month. Face to Face: Phone: /Text: Facebook: Mail: Other: Has there been at least four hours of contact with the cadet this month? Yes No Which best describes your mentoring relationship? Just Forming Norming Storming Performing In a rut Non-existent Change of Contact Information Cadet Mentor Parent/Guardian Phone: ( ) - Address: Please describe new placement activities and attach appropriate verification to this report. Observations and Updates: Please list specific dates of contact that you made during the month you are reporting on. It is critical that we have specific dates as we do have to report this information. List the date of contact under the type of contact. For example if you talked on the phone on January 1 list 1/1 under phone.

Mentor Report for the Month of Post Residential Advisor: Garrigus Perkins Morris Richardson Date: / / Class: Mentor: Cadet: Has the P-RAP been modified? Yes No Contacts Please list specific dates for each contact made during the month. Face to Face: Phone: /Text: Facebook: Mail: Other: Has there been at least four hours of contact with the cadet this month? Yes No Which best describes your mentoring relationship? Just Forming Norming Storming Performing In a rut Non-existent Change of Contact Information Cadet Mentor Parent/Guardian Phone: ( ) - Address: Please describe new placement activities and attach appropriate verification to this report. Observations and Updates: Please check mark the box letting us know if you have had at least 4 hours worth of contact with your cadet during the month you are reporting on.

Mentor Report for the Month of Post Residential Advisor: Garrigus Perkins Morris Richardson Date: / / Class: Mentor: Cadet: Has the P-RAP been modified? Yes No Contacts Please list specific dates for each contact made during the month. Face to Face: Phone: /Text: Facebook: Mail: Other: Has there been at least four hours of contact with the cadet this month? Yes No Which best describes your mentoring relationship? Just Forming Norming Storming Performing In a rut Non-existent Change of Contact Information Cadet Mentor Parent/Guardian Phone: ( ) - Address: Please describe new placement activities and attach appropriate verification to this report. Observations and Updates: Describe your relationship with your cadet. Please circle from the list provided for you. This gives us a better understanding from your perspective on how the relationship is going for you.

Mentor Report for the Month of Post Residential Advisor: Garrigus Perkins Morris Richardson Date: / / Class: Mentor: Cadet: Has the P-RAP been modified? Yes No Contacts Please list specific dates for each contact made during the month. Face to Face: Phone: /Text: Facebook: Mail: Other: Has there been at least four hours of contact with the cadet this month? Yes No Which best describes your mentoring relationship? Just Forming Norming Storming Performing In a rut Non-existent Change of Contact Information Cadet Mentor Parent/Guardian Phone: ( ) - Address: Please describe new placement activities and attach appropriate verification to this report. Observations and Updates: If any of the information for you, the cadet, or the parents change please keep us updated. This sections helps us keep accurate records.

This section of the report lets us know what the cadet is doing in terms of placement. Placement is not where the cadet lives but what the cadet is doing each month. If your cadet is employed, in school, volunteering, or in the military fill out the boxes appropriately. All information that you are aware of MUST be filled in. Also please make sure that you attach a copy of their source document ( EX: school schedule, pay stub, volunteer letter, Military orders). Employment Pay Stub (attached) Employer: Supervisor Name: Phone: ( ) - Work Phone: ( ) / Hiring Date: / / Full Time Part Time Hours per week: Wage Rate: $ per Hour Week Month Termination Date: / / Reason for Termination: Education School Schedule or Admission Letter (attached) School: Subject of Study: Type: High School 2yr College 4yr College Tech/Voc School Job Corp AmeriCorps Start Date: / / End Date: / / Has the Cadet received a scholarship? Yes No Amount: $ From whom? Volunteer/Misc. Projects Volunteer Letter (attach) Location: Point of Contact Name: Phone: ( ) - Hours per week: Wage Rate: $ per Hour Week Month Commission: Responsibility: Military Enlistment Papers (attach) Branch: ANG ARNG USA USAF USCG USMC USN Status: Active Reserve National Guard Enlistment Date: / / Basic Training Ship Date: / / Delayed Entry Date: / /

At the end of each report please submit your comments and observations of that months activities and any information you need for us to know about. If no contact was made please reflect that on your MMR. You will still be required to submit a report even if no contact was made. If you have any questions please contact your Cadets Post Residential Advisor.

THANK YOU!