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Mentor Report

Mentor Report

This is a form for the Mentor to complete their monthly report requirement and email the results to the corresponding counselor. This form pertains to Cadets that have Graduated and are in the Post-Residential phase of the program.

Step 1 of 4

25%

Cadet Name*
First Initial Last Name
Platoon*
- Alpha 1 (A1)
- Alpha 2 (A2)
- Bravo 1 (B1)
- Bravo 2 (B2)
- Bravo 3 (B3)
- 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 at least 4 total contacts with your cadet or more than 4 hours of time spent with them during the post-residential month?*
- Yes
- No
How many contacts did you have with your Cadet?

Contact #1
What type of contact?
- Face-to-face
- Phone
- Email
- Text Message
- Social Media
Date
MM slash DD slash YYYY
Contact #2
What type of contact?
- Face-to-face
- Phone
- Email
- Text Message
- Social Media
Date
MM slash DD slash YYYY
Contact #3
What type of contact?
- Face-to-face
- Phone
- Email
- Text Message
- Social Media
Date
MM slash DD slash YYYY
Contact #4
What type of contact?
- Face-to-face
- Phone
- Email
- Text Message
- Social Media
Date
MM slash DD slash YYYY

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+
Where is your Cadet employed?
Where is your Cadet enrolled in school?
Where is your Cadet volunteering?
Would you like a follow up call from your counselor regarding this report?*
- Yes
- No
What is the best number to reach you at?
What time of day is best for you?
- 08:00 am – 12:00 pm
- 12:00 am – 05:00 pm
- 05:00 pm – 08:00 pm
- Any time between 08:00 am and 08:00 pm
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?

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About Us

Since 1998, our mission is to offer our Cadets the opportunity to develop the strength of character and the life-skills necessary to become successful, responsible citizens.

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About Us
Announcements
FAQs
What to Expect
Testimonials
Mentor Portal
Service to Community
Careers
En Español
NGYCP

Contact Us

	608-269-9000
	[email protected]
	749 E 12th Ave Fort McCoy, WI 54656

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