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Monthly Report

Instructor monthly reporting tool

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First Name of Instructor

Last Name of Instructor

Instructor Email

Type of Instructor

Reporting Period

Mentor/ Mentee Section

Some description about this section

Did you connect with your assigned mentee(s) this month?

Did you connect with your assigned mentor this month?

If so, did you find the answers you were seeking by this communication?

Did you find the mentee(s) doing well or struggling in their own boarding process of becoming an instructor?

Why or why not?

Any additional feedback:

Service Offerings

Please identify the service offerings by you in the reporting month

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

# Hours

# of Students

# of Veterans

Event Type

Event name

Date

Total # Hours

Total # of Students

Total # of Veterans

If you have any more then 10 events to report for the month please upload a Word or Excel document with the additional information

Choose File

Tell us more about your event(s): please give us any additional information about your event(s) such as special demographics or sponsorship that we might share on social media or with funders. Give us as much detail as possible.

Student Information

In this section you will report any student information that you have collected who we might contact to invite to upcoming events, share are newsletter with, or any veterans/VA staff you have served during the reporting period.

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

Is this a Veteran?

Yes

No

First Name

Last Name

Email

Phone/Mobile

Zip Code

If you need additional spaces upload either a word or excel document with the additional information, You can also upload Sign-in Sheets.

Choose File

Training & Professional Development Hours

Please use the sections below to properly report approved training and professional development hours.

Professional Development for this month: please tell us what approved PD hours you completed including the name of the event/activity and the number of hours

Training Hours for this month: please tell us what approved Training hours you completed including the name of the event/activity and the number of hours

Is there anything the SEED program leadership can do for you to assist you in your instructor journey?

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