Ending your Mentoring Agreement

Please complete this form to let us know that you are ending your Mentoring Relationship.

Mentee Name *

First

Last

Mentee Email *

Mentee Phone

Mentor Name *

First

Last

Mentor Email *

Mentor Phone

Conclusion date for Mentoring Agreement *

How satisfied is the Mentee with the outcomes of this mentoring relationship? *

Comments

Please provide overall comments about how satisfied you are with this mentoring relationship.

How satisfied is the Mentor with the outcomes of this mentoring relationship? *

Comments

Please provide overall comments about how satisfied you are with this mentoring relationship.

Describe the most positive aspects of this mentoring relationship.

What were the best aspects of this relationship and the strongest benefits?

Describe any challenges or issues that affected this mentoring relationship.

What were the most challenging aspects of this relationship and the strongest benefits?

Were the Mentee's (development) goals met? If so, how well? *

Please indicate if the development goals were met and if so, how well.

Did the Mentee's goals or priorities change during the relationship? If so, in what way?

Please indicate if the development goals were met and if so, how well.

Were meetings held as frequently as outlined in the Mentoring Agreement?

Please indicate if meetings occured as agreed.

What was the main form of communication or meeting used? e.g. phone, video, face to face.

Please indicate if meetings occured as agreed.

Would you have liked more support for your mentoring relationship? If so, what would have assisted you?

Please indicate if meetings occured as agreed.

Do you have any further comments or feedback.

Include any further feedback about the program or your mentoring relationship.

Indicate Mentor and Mentee agreement with the information included in this Mentoring Cessation form.