A Moment of Reflection

Thank you for mentoring with PENCIL!

Thank you for your continued participation in the PENCIL Partnership! Your work is critical to a successful Partnership and positive student development. Please take a moment to provide PENCIL with your thoughts on the program. Your feedback will help improve outcomes for staff, mentors and students!

First Name

Last Name

Email Address

Phone Number

Date of Birth (MM/DD/YYYY)

Employer

Please enter employer name

DTCC- Which School Did You Support This Year?

Hudson High School of Learning TechnologiesGeorge Westinghouse High School

Deloitte - Which Cohort Did You Support This Year?

Richard R. Green High School of Teaching

9th Grade High School of Telecommunication Arts and Technology12th Grade High School of Telecommunication Arts and Technology

JPMorgan - Which Cohort Did You Support This Year?

Pace High SchoolThe Brooklyn Academy of Global FinanceP.S. 226 Alfred De B. MasonJ.H.S. 226 Virgil I. Grissom

PWC - Which School Did You Support This Year?

P.S. 184m Shuang WenP.S. 017 Henry David Thoreau

Google - Which School Did You Support This Year?

Astor Collegiate AcademyBushwick Leaders High School for Academic ExcellenceHigh School for Youth and Community Development at ErasmusKIPP High School

Your Experience

How much do you agree with the following statements?

	Strongly Agree	Agree	Disagree	Strongly Disagree
PENCIL connected me with students I would not otherwise meet.
The PENCIL program allowed me to work with colleagues in new and meaningful ways.
PENCIL created opportunities for me to support the development of skills student needed for success.
PENCIL helped me strengthen my leadership skills.
During the PENCIL program, I helped students discuss and reflect on their personal strengths and experiences.
PENCIL helped me feel connected to the community.

What was the best part of your mentor experience?

How much do you agree with the following statements?

	Strongly Agree	Agree	Disagree	Strongly Disagree
I felt welcomed and supported by school staff.
PENCIL staff was supportive and appreciative of my time and efforts.
PENCIL staff provided the guidance and structure needed to work with students effectively.
Working with PENCIL has changed my understanding of NYC’s school system.
Students seemed genuinely interested in my experiences and advice.

How can we improve the program?

	Hated It 1	2	3	4	Loved It 5
How would you rate your experience with PENCIL staff this year?
How would you rate your experience with school staff this year?

A Moment of Reflection

Your Experience

DEMOGRAPHICS