Student/Mentor Plan of Action

Student Name: _________________________________________________________________

Mentor Name: _________________________________________________________________
 
 

Statement of Student & Mentor Goals or Objectives for the Mentorship
 
 

Goal/Objective #1:
 
 
 
 
 
 

Goal/Objective #2:
 
 
 
 
 
 
 
 

Goal/Objective #3:
 
 
 
 
 
 
 
 

Beginning Date: ____________________Approximate Ending Date: __________________
 
 

Meeting Dates Planned Activities
 
 

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