Prevalence of Mentoring Study ~ January 1, 2011 to December 31, 2011
Please complete the information for each program location (one location per form). Submit completed form online by February 29th.
*
= Required Fields
Organization Name:
*
Address:
Program Name (if different):
City:
Contact Person (First Name):
Zip Code:
Contact Person (Last Name):
Florida County:
Title:
Phone:
*
Email Address:
*
Website:
example (http://www.flamentoring.com)
Please complete one survey for every mentoring/tutoring program within your organization.
Data for mentors includes programs that provide services to:
All age groups - children and adults as mentees/students
Traditional mentoring and academic mentoring/tutoring (volunteers only-not paid mentors/tutors)
Group mentoring and one-to-one mentoring sessions
All settings -- community, school, institutions, etc.
During January 1, 2011 to December 31, 2011, please record the number of mentors matched with a mentee.
How many mentors were involved in one-to-one mentoring?
How many mentors were involved in group mentoring where there was a ratio of more than one mentee to one mentor?
How many mentors were involved in e-mentoring in which mentees communicated with their mentor primarily through e-mail?
Where do your matches primarily meet?
Business
Community-based Organization
Correctional Facility
E-mentoring
Faith-based Insititution or Organization
Library
Residential Treatment Facility
School
Other
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