Mentor Report Form -Appendix 2

The Christian Church (Disciples of Christ) of Mid-America
MENTOR REPORT FORM
Commissioning Candidate

This Mentor Report Form documents each Meeting held between a Commissioning Candidate (Mentee) and their Mentor. The Candidate's Mentor provides ongoing guidance through monthly Meetings during their final 'year of Candidacy' in the Commissioning process.

All Mentor Meeting Reports will be stored in the Candidate's clergy file to be read and reviewed by the Members of the Ministry Discernment Team (MDT).

Please contact your Ministry Associate in the Springfield Regional Office at sgf@ccmadisciples.org should you have any questions. Thank you so much for your meaningful work in Ministry!

Date of Meeting*

Date

Meeting was Held*

via ZoomIn Personon the PhoneOther

Mentee's Name*

First NameLast Name

Mentee's Email*

example@example.com

Mentor's Name*

Mentor's Email*

example@example.com

Mentee's Regional Minister(s)*

Mentor Meeting

Please review the 16 Ministerial Practices/Competencies Document of Reference for more information about the Disciples of Christ (DOC).

Meeting Summary*

An overall summary of the conversation, including major topics and significant points.

Ministerial Practices/Competencies Discussed*

Which of the Disciples of Christ (DOC) 16 Ministerial Practices/Competencies were discussed.

Affirmations*

The Mentor's affirmations for the Candidate's Ministry and current progress in the Ordination process.

Summary of Recommendations*

The Mentor's current recommendations for the Candidate.

Requirements Prior to Next Meeting (if applicable)

The Mentor's requirements for Mentee prior to the next scheduled Meeting, if applicable.

Additional Comments/Suggestions/Notes (if applicable)

Please indicate if this was an INITIAL or FINAL Meeting with Mentee:*

Initial MeetingFinal MeetingNeither (N/A)

Date of Next Meeting*

Date

Final Meeting: Mentor's Statement of Affirmation for Mentee's Commissioning*

Mentor's 'Official Statement of Affirmation' that Mentee should be Commissioned as a Disciples of Christ (DOC) Minister with the Mid-America Region. Please explain your reasoning as you reflect on your experience working with your Mentee throughout their Commissioning journey.

As Mentor, I submit this Meeting Report to my Mentee for Approval.*