100BMNM Education Tracking Portal
 

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Complete a separate form for each participant

Georgia High School Graduation Requirements credits list for students entering high school

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678.688.4130

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PARENT DATA CAPTURE - MENTEE BEHAVIOUR

Parent First Name 

Enter data for Success Academy Mentees Only

Parent Last Name  

Parent Email

Mentee First Name 

If you have multiple sons in the program, complete one form for each mentee.

Mentee Last Name  

Mentee Email

Mentee Location 

 all fields required
 

Reporting Date

mm/dd/yyyy

Over the last 3 months, which areas have you seen improvements in your son?

No change at all Very little improvement Noticeable improvement Huge improvement / Noticed by Others
School Grades
Manners / Respect for Adults
Helping Around the House
Accountability for Actions
Interaction with Siblings / Peers
Engagement in Conversation Directly with Parent
Having a Plan for Success or Growth

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