Say Yes Mentoring Monthly Report For Say Yes Mentors Only! Compeer volunteers please use the other form. Please fill out this report and submit by the 5th of each month. All information is confidential. Any questions, please e-mail us at email@example.com. (Please use a separate form for each mentee). Today's date* Month of report*Please selectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberPlease indicate the month you are reporting for. (Example: if it is January 2nd, then you are reporting for the previous month, December)Say Yes Mentor's Name:* First Last Volunteer's email* Friend's name* First First name and last initial onlyHours spend visiting your friend in person*Number of Visits*Hours spent keeping in touch electronically*phone, email, text messagesPlease describe the activities of your visits.*(i.e. Went for walk/exercise; discussed future goals; decision making/brain storming; etc.)Do you have any concerns regarding your relationship with your mentee?Do you need to speak with the Say Yes Mentoring Supervisor?*YesNoVolunteer's phoneBest time to call youPlease note any changes in your address, phone, email, therapist, employment or personal information.Please note any changes in your friend's address, phone, email, therapist, employment or personal information.Additional comments or questionsCompeer Staff contact:*Alana ChazenPhoneThis field is for validation purposes and should be left unchanged.