Mentoring Program Agreement
Mentoring is a special partnership based on commitment to the mentoring process, common goals/expectations of the partnership, and mutual trust and respect. Mentoring is a “get and give” experience with the goal of providing a rich and rewarding experience for both partners. We ask you to share your information so the program manager can match you in a mentoring relationship. Both you and your recommended mentor will have the opportunity to agree to the pairing before you are assigned to work together.
Date
-
Month
-
Day
Year
Date
Mentor
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Mentee
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How often, when and where we will meet and who will schedule?
Duration of Mentoring Relationship
6 Months
1 Year
Preferred Communication
Text
Email
Phone
Face-to-Face
Virtual
What limitations will affect our interaction (schedules, location, etc.) and how will those be resolved?
Challenges we are likely to face and what can be do to prevent or manage these?
Mentorship Pledge
I agree to respect my mentor/mentee’s schedule and will show up prepared and on time for each session. I agree to keep sensitive conversations from the mentorship sessions private and confidential.
Mentor Signature
Mentee Signature
Submit
Should be Empty: