Art Educators of Iowa                     Mentorship Project

IAAE                                          Observation Visit Reflection

AEI Member Mentor:

Name________________________________________________________________________

Address______________________________________________________________________

               ______________________________________________________________________

Name of teacher and school district you visited:

            ______________________________________________________________________

            ______________________________________________________________________

Please provide a brief narrative of your visit.

What positive effects do you see happening because of your visit?

AEI Mentor Signature:___________________________________________________  Date______________

First Year Teacher signature:______________________________________________ Date_____________

Return this form to:                                                   Send a copy of this form with

            Chris Noel, Art Department                         reimbursement application to:                  

            Newton High School                                    Leon Kuehner, IAAE Mentor Co-Chair

            800 East 4^th Street South                        977 Glendale Park Drive

            Newton, Iowa                                               Hampton, Iowa,  50441

Duplicate this form as needed