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Mentor Feedback Form

As the Summer Enrichment Internship Program 2022 comes to a close, we are grateful for your participation and thank you for taking a few minutes to complete the mentor feedback form below. Your insights will be helpful to the College and Career Readiness Bureau of the New Mexico Public Education Department (PED) as we work collectively to improve mentoring and internship opportunities for students in New Mexico now and in the future.

(Personal information is protected by law and will not be shared. Any information you provide will be combined anonymously to help us understand and improve equitable services and outcomes for all students and mentors.)

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* 1. First Name:
Enter your first name.

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* 2. Last Name:
Enter your last name.

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* 3. Organization:
 In the box below, enter the name of your organization, business, or department.

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* 4. Title:
Enter your job title.

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* 5. Address: 
Enter the street address of your organization, business, or department.

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* 6. Zip Code: 
Enter the zip code of your organization, business, or department.

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* 7. City: 
Enter the city where your organization, business, or department is located.

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* 8. Email: 
Enter your email address.

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* 9. Website: 
Enter the website for your organization, business, or department here, if you have one.

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* 10. Program:
Click on the arrows in the box below to see and select the County, Tribe, or NonProfit Program Operator coordinating your Summer Enrichment Intern(s).

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* 11. Number of Interns:
How many interns did you mentor/supervise?

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* 12. Impact:
Was the internship program beneficial, valuable, or helpful to your organization/business/department? Check yes or no for each option below.

YES NO
beneficial
valuable
helpful

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* 13. Intern Challenges: 
Were any of the following challenging for your intern(s)? Check all that apply.

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* 14. Mentoring Challenges: 
 Were any of the following challenging for you or your team serving as internship mentors or supervisors? Check all that apply.

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* 15. Outcomes:
Did you see any of the following outcomes for any of your intern(s)? Check all that apply.

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* 16. Employability Skills - Part 1:
The following questions ask about important skills and abilities in the workplace based on the “CTE Readiness for All Careers” list of employability skills identified by the Association for Career and Technical Education (ACTE).

Did the internship program impact employability skills for any of your interns?

  IMPROVED
Work Ethic / Professionalism
Teamwork / Collaboration
Critical Thinking / Problem Solving
Written Communications
Oral Communication

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* 17. Employability Skills - Part 2:

Did the internship program impact employability skills for any of your interns?

  IMPROVED
Ethic / Social Responsibility
Information Technology Applications / Digital Skills
Learning / Self Direction
Organizational Skills
Creativity / Innovation
Leadership

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* 18. Digital Skills - Part 1:

Did your intern(s) arrive with all of the digital skills needed to succeed?

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* 19. Digital Skills - Part 2:
What digital skills would your intern(s) need to be more successful?

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* 20. Career Exposure: 
How many different types of jobs or occupations were your intern(s) exposed to during the internship program?

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* 21. Career Clusters:
Check all of the career clusters below that your interns were exposed to through your Summer Enrichment Internship Program.

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* 22. Project Highlight: 
Briefly describe one of the projects or tasks your intern worked on during the internship program.

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* 23. Intern Highlight:
Briefly describe one success or positive outcome from the internship program.

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* 24. Mentoring Highlight:
Briefly describe one personal highlight or positive personal insight from your experience as a mentor/supervisor.

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* 25. Advice: 
What advice would you give students who are considering participating in an internship?

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* 26. Future Mentor/Supervisor:
Would you consider serving as an intern mentor or supervisor in the future?

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* 27. Recommendations: 
If you have any ideas or recommendations that could make the mentorship and internship experiences better, please share them here.

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* 28. Social Media:
If your organization, business, or department uses social media, feel free to share your Facebook, Instagram, and Social Media addresses here.

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* 29. Quote:
If you feel work-based learning could be helpful for students and/or our communities and would like to provide a quote or testimonial that could be shared in reporting or with the public, please include a brief quote AND at the end, add your name, organization, and title as you would like it to appear.

Thank you for completing this Mentor feedback form for the New Mexico Public Education Department (PED) College and Career Readiness Bureau and New Mexico Workforce Solutions created by the CommUNITY Learning Network. To learn more about the statewide Summer Enrichment Internship Program for students in New Mexico, visit www.nminterns.com or contact: Marc Duske, Special Projects Manager Phone: 505‐490‐7804  Email: Marc.Duske@state.nm.us  To learn more about College and Career Readiness visit
https://webnew.ped.state.nm.us/bureaus/college-career-readiness

Have photos, videos, or stories to share from your participation as a mentor in the internship program? 
To submit photos, videos, stories, updates, posts, or flyers for review and possible inclusion on the www.nminterns.com website, email info@nminterns.com

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