Mentor/Mentee Agreement
Following the first mentor/mentee meeting, this form should be completed by mentees, with input from mentors. This form should be used only for the first meeting.
Date of first meeting
*
-
Month
-
Day
Year
Date
Mentee institution
*
List names of those present at this meeting
Mentee 1
*
First Name
Last Name
Mentee 2
First Name
Last Name
Mentor
*
First Name
Last Name
Mentee goals for mentoring process:
What do you hope to achieve during the mentoring process? These goals should be specific to mentoring; these are not the goals or SMART objectives for your change project.
Goal 1
*
How will progress on Goal 1 be measured?
*
Goal 2
*
How will progress on Goal 2 be measured?
*
Goal 3
How will progress on Goal 3 be measured?
What is the mentor’s role in helping the mentees achieve these goals?
*
What are the mentees’ roles in achieving these goals?
*
Note key points from the mentor/mentee discussion on project plan, stakeholders, tasks, and goals.
*
Document steps to be taken between now and next meeting.
*
Date of next mentor/mentee meeting
-
Month
-
Day
Year
Date
Want to receive emails with this completed form?
Enter up to three mentor/mentee email addresses, below.
Email 1
example@example.com
Email 2
example@example.com
Email 3
example@example.com
Submit
Should be Empty: