Club Mentor Preliminary Report This report should be submitted within 30 days after the date of appointment. The form can be saved before you submit it, by clicking on “Save as Draft” at the bottom of the page. Once completed, click on “Submit”. Club Mentor InformationMentor's NameFull Name as registered in ToastmastersMembership NumberMentor's Email Address *Email as registered in ToastmastersPhonePhone NumberDate of AppointmentClub informationClub Name:Club Number:Charter DateClub Website:Membership Roster (those who have paid fees and submitted charter member applications)How many members are enrolled in Pathways?What initiatives have you jointly undertaken during the preceding 60 days and how successful were they? ( e.g., Pathways orientations, meeting role training, website development to highlight clubs’ unique characteristics , supporting the executive in drafting its first club success plan, open house planning, club contest planning, executive officer role training, ongoing member recruitment etc.) ?What challenges if any have you encountered and what have you done to resolve them?What do you plan to do next and do you need any assistance from the Club Extension team?Provide a list of new executives with names and emails after the spring election.Mentor Signature:DateSubmitSave as Draft Facebook Twitter LinkedIn