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Mentor Report
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*
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Comments
This field is for validation purposes and should be left unchanged.
Cadet Name
*
First Initial
Last Name
Platoon
*
Alpha 1 (A1)
Alpha 2 (A2)
Bravo 1 (B1)
Bravo 2 (B2)
Don’t know
Click on the Platoon that your Cadet was a member of during the residential phase of the Academy.
Mentor Name
*
First Name
Last Name
Mentor Email
*
Mentor Phone
Best number that you can be reached at.
Did you have contact with your Cadet during this post-residential month?
*
Yes
No
List
*
Contacy Type?
Date
Add
Remove
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Contacts
Please document all contacts
Contact Type?
Date
Actions
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Entries.
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Maximum number of entries reached.
My Cadet is:
Employed
Enrolled in school
In the military
Volunteering
None of the above
How many hours per week is your cadet involved in the above activities?
0-24
25+
What is the name of the business/organization that employs your Cadet?
Address of business/organization
Please fill out as much as you can.
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Business/organization phone number
Please fill out if known
Hire Date
MM slash DD slash YYYY
Enter the hire date if not reported prior.
What is the name of the school where your Cadet is enrolled?
School Start Date
MM slash DD slash YYYY
Please enter if you have not reported a start date for this school or if this is a new school that your Graduate has enrolled in.
What is the name of the organization that your Cadet is volunteering with?
Volunteer organization address
Please fill out as much as you can
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Volunteer Organization Phone Number
Please enter if known
Start Date
MM slash DD slash YYYY
Enter the start date if not reported prior.
Military Branch
Air Force
Air National Guard
Air Force Reserves
Army
Army National Guard
Army Reserve
Coast Guard
Coast Guard Reserve
Marine Corps
Marine Corps Reserve
Navy
Navy Reserve
Space Force
Enlistment Date
MM slash DD slash YYYY
Enter the enlistment date if not reported prior.
Would you like a follow up call from your counselor regarding this report?
*
Yes
No
Follow up up call context
Please give a little context of what you would like the follow up call in regards to.
Did you and your Cadet talk about their P-RAP plan?
*
Yes
No
Please list any changes made to the Cadet's P-RAP plan.
Is there any other information that you would like to share?
Upload Documentation
If you have any supporting documentation from the Cadet regarding activities during the past month (pay stubs, job confirmation emails, and etc.) or if you would like to share a photo of your Graduate we would appreciate you uploading it here.
Drop files here or
Select files
Max. file size: 15 MB.
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