Mentoring Agreement Form

LDR/531 Version 5
1
University of Phoenix Material
Mentoring Agreement Form
We are both voluntarily entering into this mentoring partnership. We wish this to be a rewarding
experience, spending most of our time discussing developmental activities and topics. We agree that
1. he mentoring relationship will last for at least the duration of the !"#$%&1 course.
'. We will meet at least once a wee(. Meeting times, once agreed, should not be canceled unless this is
unavoidable. At the end of each meeting, we will agree on a date for the next meeting.
&. )ach meeting will not have a set duration of time, but we should have ample time to cover all the
necessary and important issues.
*. +etween meetings, we will contact each other by telephone or e,mail for a -uic( chec(,in to ensure
there are no ma.or issues.
%. +ased on an initial conversation between the mentor and mentee, the goal of the partnership is to
discuss and learn more about the following topics/
a. Wea(nesses and strengths 0 currently possess
b. 1ow to improve on the wea(nesses and effective leadership
c. 2ositive managing throughout the mental health agency.
3. We agree that the role of the mentor is to/
)nsure that all of the feedbac( provided is truthful and will provide constructive criticism when noticing
areas of improvement
4. We agree that the role of the mentee is to/
!isten and document all of the new information provided and to trust and ta(e in the feedbac( given by
the mentor
5. he mentor agrees to be honest and provide constructive feedbac( to the mentee. he mentee
agrees to be open to the feedbac(.
Mentor6s signature and date/
+ob 1allion 7$8%$'81*
Mentee6s signature and date/
9hane Fuller 7$8%$'81*
:opyright ; '81', '811, '887, '885 by <niversity of 2hoenix. All rights reserved.