**MINNESOTA NRCS STUDENT OR CAREER MENTOR PROGRAM**

**Student or Career Mentor 12 Month Progress Report**

NAME:
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DATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

STUDENT'S NAME:
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HOW LONG HAVE YOU BEEN IN THE PROGRAM?
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1\. Were the number of contacts made sufficient for a successful
mentoring relationship?

Yes No

In what way?

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By what method and number of contacts in the last 12 months?

Face to Face \_\_\_\_\_\_\_\_\_ E-Mail \_\_\_\_\_\_\_\_\_ Phone
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2\. As a student or career mentor, are you satisfied with your
mentor/student relationship or your role in

this program? Yes No

If no, please indicate how your role and/or your mentoring relationship
could be improved.

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3\. As a student or career mentor, what benefits have you received by
participating in the mentoring

program?

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4\. Please evaluate the Minnesota NRCS Student or Career Mentor Program.

Poor 1. 2. 3. 4. 5. Outstanding

NRCS is an equal opportunity provider and employer.

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5\. What would you change to improve the program?

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(Use additional sheets if necessary)

Completed forms should be forwarded to: Natural Resources Conservation
Service

Attn: Ann English

375 Jackson Street, Suite 600

St. Paul, Minnesota 55101-1854