School of Foundation Studies
Mentor-Mentee Report Form
Mentor-Mentee system is for the purpose to improve our student’s result and
learning quality, lecturer has responsibility to fill up this form as a report of mentor.
Hence, the best solution can be taken by our school according to this report.
A) Information of Mentor
Name : _______________________________________________
Faculty/ Department : _______________________________________________
Subject of Mentoring : _______________________________________________
Period of Mentoring : _______________________________________________
B) Information of Mentee
Name : _______________________________________________
Programme/ Course : _______________________________________________
Batch : _______________________________________________
Student ID : _______________________________________________
Failed Subject(s) : _______________________________________________
_______________________________________________
Result(s) of Failed
Subject(s) : _______________________________________________
Latest CGPA Result : _______________________________________________
Page 1 of 3
C) Report by Mentor
1. Comment on learning attitude towards mentee:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
2. Comment on academic performances towards mentee:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
3. Overall results in latest academic performances towards mentee:
(Please Tick √ in the below column)
Excellent Satisfied Average Poor
Quiz
Tutorial
Assignment
Test
Final Examination
Others ________________
Page 2 of 3
4. Other comment/ suggestion :
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Signature of Mentor: Date:
________________________ ____________________
D) Report by Head of Department:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Signature of Head of Department: Date:
__________________________ _____________________
Page 3 of 3