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Mentoring Form

This document contains forms and templates for mentoring students including collecting personal details, academic performance, attendance records, extracurricular achievements, interactions and activities with mentors, and tracking at-risk students. Sections include collecting contact information, academic results, attendance from the university system, conversations with parents, achievements, mentor activities, interactions with students, and monitoring attendance. The goal is to provide holistic mentoring support and guidance to students.

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Abhinav
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0% found this document useful (0 votes)
49 views

Mentoring Form

This document contains forms and templates for mentoring students including collecting personal details, academic performance, attendance records, extracurricular achievements, interactions and activities with mentors, and tracking at-risk students. Sections include collecting contact information, academic results, attendance from the university system, conversations with parents, achievements, mentor activities, interactions with students, and monitoring attendance. The goal is to provide holistic mentoring support and guidance to students.

Uploaded by

Abhinav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BRANCH: BATCH: SECTION: GROUP:

Total No. of Students in Group:

Total No. of Boys:

Total No. of Girls:

Boys: In campus ………………….. Outside campus:……………………

Girls: In campus…………………… Outside campus:……………………

Total No. of day scholar (including Boys + Girls):-


Total No. of Hostler (including Boys + girls):-

Total No. of students using bus facilities:

Boys:

Girls:

Class representative Name:…………………………..

Mentor Name…………………………………………
INFORMATION HANDBOOK FOR MENTORING

BATCH……………………….. DEPARTMENT……………………
NAME………………………………………………… SEX (M/F)………………….
E MAIL……………………………….…………….. BLOOD GROUP……………
UID………………………………………………..
CATEGORY (please tick) (GEN / SC/ST/OBC/ NOT MENTIONED)………………….
SEM………………………………………YEAR 1ST….2ND …..3RD ……4TH……….
(PLEASE TICK)
Section……………… Group………………… DOB………………………………
FATHER’S NAME……………………………………………..
OCCUPATION………..…………………………DESIGNATION…………………….
OFFICE ADDRESS………………………………………………………………………
OFFICE PHONE NO……………………………………MOBILE NO…………………
MOTHER NAME……………………………………….
OCCUPATION…………………………………DESIGNATION………………………
OFFICE PHONE NO…………………………..MOBILE NO………………………….
WHETHER THE STUDENT IS STAYING IN HOSTEL? YES/NO……………………
PRESENT ADDRESS…………………………………………....................................
…………………………………………………………………………………………….
…………………………………………………………………………………………….
…………........DISTRICT………………..STATE…………………..PIN…………………..
STD CODE…………………..PHONE NO………………………………………………
CORRESPONDENCE ADDRESS……………………………………………………..
…………………………………………………………………………………………….
…………………DISTRICT………………………STATE………………………PIN……..
STD CODE………………….STATE…………………….PIN………………………….
GUARDIAN NAME (If any)……………………………………………………………
OCCUPATION………………………………..DESIGNATION………………………..
OFFICE ADDRESS…………………………………………………………………….
…………………………………………………………………………………………….
OFFICE PHONE NO……………………………MOBILE NO…………………………
WHETHER THE STUDENT IS USING COLLEGE BUS FACILITY? YES/NO…….
UNIVERSITY RESULT (use pencil for filling this page)
RESULTS

Marks in 10th with Board……….


Marks in 12th with Board…..…..

Result From UIMS


ATTENDANCE RECORD FROM UIMS
CONVERSATION WITH PARENTS RECORD

Date Type of Person with Topic of Type of Any Signature


conversatio whom conversation informatio suggestio
n talked to n you n from the
(telephonic / provided parents
Personal)
ACHIEVEMENTS IN UNIVERSITY

Students Area of Field of Level of Date Prize if any


Name achievement achievement competition
MENTOR ACTIVITIES

Sr. No. Type of activities Schedule date Status


INTERACTION WITH STUDENTS

Date Points Discussed Name of Signature of


students Present Students

FORTNIGHT ATTENDANCE
(From UIMS)

1. List of students with attendance below 75% attendance & action taken record.
2. List of students with attendance below 65% attendance & action taken record.
3. List of students with attendance below 50% attendance & action taken record.

MST, record & analysis and action taken for slow learners and
advanced learners:

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