Field Mentor Monthly Report for Month: ______________ Year: ____

Student ID #: Student Name:

Field Mentor:
Instructions:
You may fill out this form electronically or by hand. Electronic forms should be submitted to the student’s professor
via email. To move between fields, press the “TAB” key.

9 Top Information Box:

• Use drop down menu to select the month and the year
• Type in student’s ID #, student’s name, and Field Mentor’s name
9 Meeting Times This Month Box:
• Type in the date for each meeting and hit the “tab” key (date will auto format)
• Type in the approximate length of each meeting
9 Numbers 1 – 5 (Areas of discussion)
• Type in a summary of what you discussed during your meetings this month with the student
9 Number 6 – Rate the student’s progress in the areas listed.
1. Meeting Times This Month
Date How Long?

Week 1 hours

Week 2 hours

Week 3 hours

Week 4 hours

Week 5 hours

2. Areas we discussed that were initiated by the student.

• Wk 1

• Wk 2

• Wk 3

• Wk 4

• Wk 5

3. Areas related to the student’s Covenant of Learning that I checked on or we discussed.

• Wk 1

• Wk 2

• Wk 3

• Wk 4

• Wk 5

5. Forms and Reports • Field Mentor Monthly Report • © May 2008 GGBTS • Page 1 of 2
4. Areas related to the student’s professional growth that we discussed.
• Wk 1

• Wk 2

• Wk 3

• Wk 4

• Wk 5

5. Areas related to the student’s personal growth that we discussed.

• Wk 1

• Wk 2

• Wk 3

• Wk 4

• Wk 5

6. Student Progress Chart

Please rate the student’s progress during the past month in the areas listed below by clicking or checking the box.
*If you mark “Needs Attention,” please give specific details in the “Comments” section below.

Needs Normal Substantial

Attention* Progress Progress
Spiritual/personal growth

Leadership development

Ministry skills development

Ability to listen and accept feedback

Awareness of issues he/she needs to be working on

Progress toward Covenant of Learning goals

7. Comments

SIGNATURES AND DATE

Field Mentor: Date:
Your digital or hand signature above indicates that you have shown and discussed this report with the student.

5. Forms and Reports • Field Mentor Monthly Report • © May 2008 GGBTS • Page 2 of 2