Mentor Report Form -Appendix 2

Mentor Report Form [Commissioning] - Appendix 7

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 nurture and direction throughout their Commissioning journey.

This Form to be completed by the Candidate's Mentor. Once submitted, the Form will be emailed to the Candidate for final review and approval. Once approved, this Form is remitted to the Mid-America Regional Office in Springfield. 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

How was Meeting Conducted*

ZoomIn-PersonPhone CallOther

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)*

Meeting Details

Please review the 16 Ministerial Competencies - Document of Reference for more information about relevant Disciples of Christ Ministerial Practices.

Meeting Summary*

Please provide an overall summer of the conversation, including major topics and/or significant points.

Ministerial Competencies/Practices Discussed*

Please detail which of the Disciples of Christ (DOC) 16 Ministerial Practices/Competencies discussed.

Affirmations*

Please detail Mentor's affirmations for Mentee's Ministry and current progress in the Commissioning process.

Summary of Recommendations*

Please detail Mentor's current recommendations for Mentee.

Requirements Prior to Next 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 affirming 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 Mentee throughout their Commissioning journey.

I hereby submit this Meeting Report to my Mentee for Approval.*