WiM-Virginia Mentoring Program - Mid-Point Evaluation Form

WiM-Virginia Mentoring Program - Mid-Point Evaluation Form

To be completed and submitted separately by Mentee and Mentor at the mid-point of your participation in the Mentoring Program. All application information will be treated confidentially and used only for program purposes.
Name*

First Name Last Name
Are you the:*

MentorMentee
Your input is very important and will be used to track your progress in the program. Please take the time to reflect on your experience and provide us with your insights. The following questions should be answered at a minimum, but please feel free to elaborate.
Please choose the option that most applies to the following statement: We have made progress towards achieving our leadership growth goal(s).*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Please explain:*
Please describe any addtional unanticipated breakthroughs or achievements:*
Please choose the option that most applies to the following statement: We have made progress towards achieving our professional development goal(s).*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
What do you think are the greatest strengths of the Mentorship program?*
What do you think are significant weaknesses of the Mentorship program?*
Please consider the way that the Mentoring Program is currently structured in terms of goals, requirements, and deliverables, and comment as to how you think the program could be improved over the next 5 months.*
Please provide any other comments you feel would facilitate the improvement of the Mentoring Program.*
Should be Empty:

WiM-Virginia Mentoring Program - Mid-Point Evaluation Form

Your input is very important and will be used to track your progress in the program. Please take the time to reflect on your experience and provide us with your insights. The following questions should be answered at a minimum, but please feel free to elaborate.