Mentor/Renaissance Scholar Semester
Report
Date or Advising Session _______________________________________________________________
Renaissance Scholar, please fill out this section of the report before
meeting with your mentor.
Scholar’s Name _____________________________________________________________________
Scholar’s Major _______________________________________ ________________________________
Scholar’s Second Teaching Field (if applicable) _______________________________________________
Scholar’s Main College ________________________________________________________________
I attended the following Renaissance Scholars Student Organization Events:
I attended the following Renaissance Scholars Program Sponsored Events:
I helped with the following outreach programs:
I am a member of the following professional organizations:
I participated in the following professional development opportunities related to teacher preparation in
general or specifically to my teaching field.
Renaissance Scholar Mentor, please fill out this section of the report.
Mentor’s Name_______________________________________________________________________
Does the scholar have an overall 3.0 GPA or higher
Yes _____
No_____
Does the scholar have a 3.0 or higher GPA in major field of Study
Yes _____
No _____
Does the scholar have a 3.0 or higher GPA in secondary teaching Field
Yes _____
No _____
Is the scholar on track to graduate in a timely manner?
Yes _____
No _____
If the answer to any of the above questions was no, what steps need to be taken to help the student be
successful?
Has the scholar attended Renaissance Scholars
Student Organization Events?
Yes _____
No_____
Has the scholar attended at least one
Renaissance Scholars Program Sponsored Event
per long semester?
Yes _____
No_____
Is the scholar a member of a professional
organization?
Yes _____
No_____
Yes _____
No_____
Yes _____
No_____
Did the scholar assist with at least one outreach
event per long semester?
Did the student attend any professional
development opportunities?
If the answer to any of the above questions was no, please list suggestions of ways that the student can
become involved in these events.
Mentor/Renaissance Scholar Semester
Report
I affirm that I have met with my Renaissance Scholar Mentor during the
fall _______
spring _______ semester and discussed my progress toward teacher certification.
____________________________________________
__________________________
Scholar’s Signature
Date
I affirm that I have met and have mentored my Renaissance Scholar during the
fall _______
spring _______ semester and discussed his/her progress toward teacher certification.
____________________________________________
__________________________
Mentor’s Signature
Date
Please return this form to Dr. Kathy Horak Smith’s office in the Mathematics Building, Room 225 or Box
T-0470, Stephenville, TX 76402. Please feel free to contact her if you have any questions at 968-9304 or
[email protected].
_____________________________________________
__________________________
Renaissance Scholars Program Director’s Signature
Date Submitted to office