The ABAC Mentoring Program

Mentee Application Form

First Name *

Last Name *

ABAC Email Address *

No Email

Phone

Role *

Prefer to be matched with this role

Rank (Faculty) *

Rank (Staff) *

If other:

Rank (Administrator) *

If other:

Campus *

School

Department (check all that apply)

Department of Agriculture Department of Forest Resources Department of Agriculture Education and Communication

Department (check all that apply) *

Department of Education and Wellness Department of English and Communication Department of Fine Arts Department of History and Political Science Department of Rural Studies

Department (check all that apply) *

Department of Science and Mathematics Department of Nursing and Health Sciences

Readiness

Using a scale from 1 to 5 (with 1 being very uncomfortable and 5 being very comfortable) rank your comfort level/abilities for each of the 12 effective mentoring skills.

1. Building and maintaining relationships *

Patience and persistence in developing meaningful relationships

2. Communicating *

Open communication, listening effectively, communicating clearly and unambiguously, recognizing nonverbal cues

3. Coaching *

Helping an individual learn and refine new skills

4. Encouraging

Cheerleading, confidence building, motivating, inspiring

5. Facilitating

Promoting and enabling self-directed learning

4. Goal setting *

Setting specific, realistic, and quantifiable goals

7. Guiding

Help maintain focus and set boundaries

5. Building relationships *

Openness to connecting with other people who can be a resource

6. Managing conflict *

Openness to conversations about differing points of view

7. Problem solving *

Receiving assistance in the problem-solving process, not expecting problems to be solved for you

8. Receiving feedback *

Receiving constructive feedback

9. Reflecting *

Evaluating, processing, and considering the implications for future action

Clifford, P.S., & Lakoski, J. (2008). Perspective: Top 10 Tips for Mentors. From http://sciencecareers.sciencemag.org/career_magazine/previous_issues/articles/2010_10_08/caredit.a1000098.

In your opinion, an effective mentee… *

On a scale from 1 to 5 with 1 being ‘not at all’ and 5 being ‘completely’ rank your self-perceived ability to be the mentee you described in the previous question. *

Would you be willing to participate in mentorship/leadership skills training and development?

If other, please specify:

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Mentoring agreement

I agree to the Mentoring Agreement *

I agree to the Privacy Policy *

I agree to the Code of Conduct *

Become a Mentee

Mentee Application Form

Readiness

Mentoring agreement