MAP Protégé Check-in Form 2025-2026 You must have JavaScript enabled to use this form. Name Your First Name Your Last Name Your Email Mentor's Name Mentor's First Name Mentor's Last Name How would you rate the relationship with your mentor currently? Great/Awesome Going Well/Continuing to Develop Needs Improvement/Not Going Well How quickly does your mentor respond to your outreach? Same day 1-2 days 3-5 days Longer than 5 days How many meetings/connections have you had with your mentor since last check-in? - Select -0123+ How much time (on average) did you spend in meetings/activities with your mentor since last check-in? - Select -Less than 15 min.30 minutes60 minutes90 minutesMore than 90 minutes Please give a brief description of what you have done with your mentor this month: Is your next meeting scheduled? Yes No Do you have any additional comments or concerns? Leave this field blank
