Center for Promoting STEM

STEM Mentoring Program

Evaluation

b/a.Name: / d/e. OCC ID or SS#:
f. Gender: / [ ] Male(00)[ ] Female (01) / h. Phone: / j. E-mail: / @
Please provide your permanent e-mail address.
k. When do you plan to transfer? / Semester, / Year / l. Where?
m. Intended Major:
n. Will you participate in the STEM Mentoring Program again next semester? / Yes (01) / No (02)
If yes, be sure to submit a new application for spring 2011.
If you will not participate in the program next semester, please explain.
o. If transferring in fall 2010, would you like to continue receiving information from us about STEM opportunities? / Yes (01) / No (02)
q. How did you hear of the Program? / [ ]Friend/Relative(01) / [ ]Oakton Phone call(02) / [ ] Class Visit(03) / [ ]Oakton Letter(04)
[ ]Posted flyers(05) / [ ] Teacher(07) / [ ]Oakton Web(08) / [ ]Oakton Orientation(09) / [ ] Financial Aid(10) / [ ]Other, specify(06):
r. Your academic interest(s): / [ ] STEM (Science, Technology, Engineering, and/or Mathematics) (01)
[ ] Education (02) / [ ] Health Careers (03) / [ ] Business (04) / [ ] Other, specify (06)
s. Your mentor is: / [ ] Dennis Malek (09) / [ ] George Tootalian (16) / [ ] Kalyani Banerjee (45) / [ ] Doug Lewit(52) / [ ] Ted Bukowski (38)
[ ] Avis Gibons (05) / [ ] Dorota Zak (40) / [ ] Jennifer Strehler (31) / [ ] Lei Yu (35) / [ ] Ray Tse (17) / [ ] Theodore Gotis (39)
[ ] Bill Dinchuck (51) / [ ] Elena Ermolenko (24) / [ ] Joe Kotowski (08) / [ ] Mack McKernan (10) / [ ] Reza Dai (03) / [ ] Tom Firak (25)
[ ] Bill Strond (14) / [ ] Bess Kershisnik (41) / [ ] John Carzoli (23) / [ ] Majid Ghadiri (04) / [ ] Ruth Williams (48) / [ ] Tom Witte (18)
[ ] Carol Ward (32) / [ ] Erin Lennon (33) / [ ] John Lund (34) / [ ] Melodie Graber (46) / [ ] Safa Hamed (06) / [ ] Vicki Giambrone (50)
[ ] Cecelia Hutchcraft (27) / [ ] Gary Mines (29) / [ ] John Stryker (42) / [ ] Michael Carr (02) / [ ] Tammara Estes (53) / [ ] Wade K. Jarrell (07)
[ ] Connie Churchill (39) / [ ] May Coulson(54) / [ ] Jude Nwosu (43) / [ ] Miriam Lythberg (47) / [ ] Soma Dey (49) / [ ] Zaya Shamoon (12)
[ ] Dave Geller (26) / [ ] Dennis Malek (09) / [ ] Julie Shotsberger (44) / [ ] Nicole Perry (30) / [ ] Don’t know/remember (21)
t. I would like to have the same mentornext semester.(If transferring, I would like to maintain contact with my mentor.) / [ ] Yes (01) [ ] No (02)
Please rate the STEM activities and mentoring component.
The STEM activities / Strongly Disagree (01) / Disagree (02) / No Opinion (03) / Agree
(04) / Strongly Agree (05)
  1. increased my knowledge of Science, Technology, Engineering or Mathematics (STEM).

  1. increased my confidence in learning STEM.

  1. helped improved my academic performance.

  1. improved my confidence in STEM courses.

  1. increased my understanding of various STEM careers possibilities.

  1. increased or strengthened my interest in pursuing a STEM career .

  1. increased/strengthened my employability skills to pursue a STEM career.

  1. I will recommend this program to other students.

  1. I am interested in attending more presentations of this kind.

Mentoring / Strongly Disagree (01) / Disagree (02) / No Opinion (03) / Agree
(04) / Strongly Agree (05)
  1. helped improved my academic performance.

  1. improved my confidence in STEM courses.

  1. increased my understanding of various STEM careers possibilities.

  1. increased or strengthened my interest in pursuing a STEM career.

  1. increased/strengthened my employability skills to pursue a STEM career.

  1. helped me understand how Oakton works.

  1. helped me adjust to college.

  1. helped me learn about various opportunities and services at Oakton.

  1. increased my confidence in the process of transferring to four-year school.

Continue to back page.

Please rate your mentor.
My mentor … / Strongly Disagree (01) / Disagree (02) / No Opinion (03) / Agree
(04) / Strongly Agree (05)
  1. Comes prepared for mentoring meetings

  1. Arrives on time for mentoring meetings

  1. Is courteous and professional

  1. Promptly responds to messages

  1. Communicates effectively

  1. Uses mentoring time well

  1. Suggests ideas for discussion or activities to attend

  1. Attempts to contact Mentee during inappropriate hours

  1. Actively participates in mentoring meetings

  1. Encourages me to perform my best

  1. The mentor is a good match for me.

  1. Overall, I am satisfied with the program.

  1. Best features of the activities:
  1. Suggestions for improvement:
  1. Other comments or suggestions for future topics or activities:

Note: The check for the fellowship award will be authorized after we receive your completed signature form and passing grades for all enrolled fall semester courses. To ensure that you receive your check, please confirm that your mailing address in myOakton is up to date.