Mentor Attestation Certification Mentor's Name*Please enter your name below. First Last Mentor's Email Address* Mentee's First and Last Name*Please enter the mentee's first and last name below.Check the box below to attest that the mentee has done the following: Successfully completed the Long-Answer Review. Recorded and submitted one 30-minute coaching session and transcript with timestamps that “passes” at the PCC level. Completed three mentor coaching sessions. Coached in at least six (6) observed coaching sessions. Attended at least seven (7) hours of group mentoring sessions during WLCT. Check the box to attest to Certification Completion for this Mentee* I attest that this mentee has completed all of the certification objectives. Signature*Date* MM slash DD slash YYYY
