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Clear Springs High Schoo ISM- Mentorship Activity Log Stents Nome. >erioa. 1% roa acy Hout Weeks, hous min Week of: 0%) 26 |lo Total Hours with Mentor for Wi Oe Day/Time ] Detail of Mentorship Activities ‘Activity | Mentor |” Mentor Signature | Hours | Hours (REQUIRED) ‘MONDAY I Dat | | Time: | | = woreed on vesearun essigqnmant Lio pred tun Saves) Aid gonnt Opava ye ste Ov | oO © | ren eesetaguae “Stare te — |= pesemred naneor Ai Bue lee Y. Date: 02 2@Io | pLAtar Samgies KEP microioes LP fog : ovoerth Minter USE inavitvaye © 3 |- : Bo = SAS, Ser pls nk HPLC te we phe) eee cee ee jade Patients el Date: | Time: SATURDAY | Weed anyestarnn pate:|0 -01-1 ASSIA Mtn (con-eertd ot hey \ O ’ suse sauces VOOR 50 | | Jick sume, exten YESPONUN On, Time: PRA Con dakerason ‘SUNDAY | Date: | Time: IMPORTANT: a x (py ohy ‘Always round your time tothe nearest half-hour (30 mins.) © Terme eetor MUS smn for actus mentrshs cayafhous (ee sample page); Activity Logs mising the requed mevear sigmature(s) wil not be accepted for credit towards mentorship hours. resets pected to document and total BOTH "mentorship" (atleast 2 hours} an “acthity” (3 hours) Montorihip Activity Logs are due EVERY Monday. -25poins exch day late, ZERO afer 2 days) Students MUST show an average of 2 “mentorship” hours per week for course credit! You are expected to turn in a mentorship log each week, nable tom n ‘document when/how you plan to make up the hours. You should sil document at ens a eee If this isthe case, please

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