Mentor's Name:
Youth Name :
Personal Vision Statement:
What Values-Based Goal did you accomplish this month?
Category:
Long Term Goal:
Mid Term Goal:
To Do: To Do: To Do:
Accountability Partner:
Describe a decision you had to make this month and how you used the Character-Based decision making board:
Optional: submit a photo of you, your mentor, and your accountability partner.
Your Photo:
Mentor:
*The entries will be reviewed and a VIP of the month will be selected. The VIP of the month will receive a $25.00 government secured savings bond!