Trainee-Mentor Meeting Form

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The form below is designed to be used during the regular Trainee-Mentor Meetings which occur either every 3-months (quarterly) or 6-months (biannually) depending on the specific Training Program.

Questions specific to a particular program are dynamically displayed based on the selected Training Program. For your electronic signature, please simply type your name and provide your email as requested at the bottom of the form.

A copy of all of this report will be emailed to both the Trainee and Mentor. If you have any questions regarding this form or have any issues, please contact the IBSC.

2024 Trainee-Mentor Reporting Form
Trainee Name
Trainee Name
First
Last
Mentor Name
Mentor Name
First
Last
Please note in addition to the two Interim Reports, an Annual Program Evaluation is due November 1st
If only month and year are known, indicate the first of the month. Example: April 1, 2024.

Activities Performed Since Last Report

If this is your first report, list all activities performed since beginning your Training Program. If no activities have been performed, enter NONE
Please include pre-print
Examples: Academic Lab Management & Leadership Symposium; Biotechnology Leadership Program

Research Plan and Progress

0 of 500 max words
Please describe any and all changes to the Research Goals; Trainee Role and Involvement; or Long Term Research Plan. If Research Goals have NOT been established for the upcoming Reporting Period, please explain why below and an estimated time for establishing said goals.
0 of 750 max words
Please describe research performed during the current Reporting Period, including challenges faced (and how they were overcome or are being approached).

Career Development

0 of 500 max words
Please describe why the Trainee IDP was not established; not reviewed and discussed; or not modified. If the current IDP meets all of the Trainee's career development needs, please speak to this.
0 of 500 max words

Coursework/Seminars/Workshops

Offered by The Teaching and Learning Center

Program Specific Requirements

Please provide details where the article was submitted, including a link to the publication if possible.

Barriers and Commentary

0 of 500 max words
Please describe any perceived barriers to your success and completion of your Training Program requirements. For each barrier, please let us know how we can assist by providing a proposed mitigation plan to reduce or eliminate said barriers. Please be sure to indicate where the barrier is being encountered (i.e. you Training Program; your Department; at UCSC in general; outside of UCSC).
0 of 500 max words
Please provide any additional comments related to the previous reporting period, and/or the upcoming reporting period.

Electronic Signature

I hereby attest that the information provided in this form is complete and correct, and that the individuals listed below are those completing this form and attest to its accuracy. If any questions arise regarding this report, I consent to being contacted via email.

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