Date Submitted

Tue Jan 06 06:18:13 2009

Mentors Name

First Mentees_Name

First Contacted

Second Mentees_Name

Second Contacted

Third Mentees_Name

Third Contacted

Fourth Mentees_Name

Fourth Contacted

Fifth Mentees_Name

Fifth Contacted

In what ways did you contact your mentee/s? (select all that apply)

What kinds of topics did you discuss with your mentee? (Select all that apply)

What words come to mind when thinking of your role as a mentor? (Select one)

On a scale of 1 to 5, how would you rate your mentoring experience?

What was the most satisfying experience you had as a mentor?

What was the most frustrating experience you had as a mentor?

Would you be interested in attending Professional Development in mentoring?

Would you want to continue in your role as a mentor?

Please summarize any experience you had with your mentee you would like to share.