Form for H.O.P.E. Mentor Activity | H.O.P.E. Project | Income | Action Areas | What We Do

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Form for H.O.P.E. Mentor Activity
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H.O.P.E. MENTOR LOG

Your Name

Mentee Name

Date

Time Start

Time End

or Estimated Total Time

Activity Type

Indoor Recreational
Outdoor Recreational
Food
School
Cultural/Arts
Community Service
Phone/Text to Youth
Phone/Text from Youth
Committed Partners for Youth/Big Brothers Big Sisters

Activity: Other

Activity Location

$$$ Spent

How did it go?

Reimbursement

Please reimburse me. I will send receipt(s) to Jenny Stern Carusone.
Do not reimburse me. Consider money spent an in-kind gift.

Thank you for completing this form!

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