WiM-Virginia Mentoring Program - Final Summary Report Form

WiM-Virginia Mentoring Program - Final Summary Report Form

To be completed and submitted by Mentee at the conclusion of your participation in the Mentoring Program. Please submit within 30 days of your final session. All application information will be treated confidentially and used only for program purposes.
Name*

First NameLast Name
Your input is very important and will be used to enhance our program for future participants. 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.
I was able to achieve at least one of my leadership growth or professional development goal(s).*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Please explain:*
Please describe any addtional unanticipated breakthroughs or achievements:*
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.*
Please provide any other comments you feel would facilitate the improvement of the Mentoring Program.*
Would you recommend this program to others?*

YesNo
Would you consider becoming a Mentor for this program in the future?*

YesNo
Should be Empty:

Your input is very important and will be used to enhance our program for future participants. 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.