Monthly Mentoring Monitor — Aspirant

Due at MDRT by the 20th of each month

Date submitted:
Mentoring Team Information
*Mentoring Aspirant ID:**
Aspirant Information
*Aspirant Last Name:**
*Aspirant E-mail:**
Check here to receive a copy of this report via email.
Manager:
Mentor Information
*Mentor Last Name:**
*Mentor E-mail:**

Mentoring Monthly Monitor Report Details
Report for...
Number of In-Person Status Meetings
Number of Joint Appointments
Number of Kept Appointments
Please enter the following monetary amounts as numbers, omit any commas [,] and dollar signs[$].
MDRT FYC Paid this Month	$
YTD FYC	$
FYP Paid This Month	$
YTD FYP	$

Aspirant's Comments
Victories:
Challenges:

I wish to order an audio presentation. — Free to keep.	#
I wish to borrow a video presentation. — Video presentations must be returned to MDRT.	#
I will return the video to MDRT headquarters within 30 days.

Note:

With many companies, renewal splits must be the same as FYC splits if the Aspirant is under financing. Please check with your general agency/manager. The Monitor is to be completed by the aspirant and submitted to the mentor. After the mentor has noted comments, it should be passed on to the manager for signature prior to sending to:

MDRT/GAMA International Mentoring Program
325 West Touhy Avenue
Park Ridge, IL 60068
Phone: (847) 692-6378
Fax: (847) 518-8921