Mentee Beginning/Mid-Year Self-Evaluation Form ©

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Please provide some basic information about yourself, the mentoring program in which you're participating, and the current timing of your mentoring relationship (if applicable).

IMPORTANT NOTE: Before submitting this form, please PRINT this page or SAVE your self-evaluation results by copying/pasting into a Word Document. We encourage you to share this with your mentor.

Full Name *

Class Year or Job Title/Department *

Example: Sophomore, Senior (for students), Program Coordinator/ZSR Library (for faculty/staff)

Please indicate the type of mentoring relationship in which you are currently involved: *

Formal Mentoring Program Relationship

Informal Mentoring Relationship

If participating in a Formal Mentoring Program, please list the name of the program:

Examples: First Year in Focus, Magnolia Scholars, CHARGE

Please rate yourself on the following statements below to assess your progress towards developing key mentee competencies. This self-evaluation provides an opportunity to reflect on your growth from the beginning to the end of a mentoring relationship.

Rating scale: 1 - Never, 2 - Rarely, 3 - Sometimes, 4 - Often, 5 - Always

If you are at the beginning of your mentoring relationship and have not had the opportunity to act on or had past experience with the following statements, please indicate that below.

I develop effective relationships with others who support my work towards personal learning goals. *

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and have not been able to do this yet; or have not had an experience with doing this in the past.

I keep commitments with others by doing what I say I will do and showing up for meetings on time and prepared. *

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and have not been able to do this yet; or have not had an experience with doing this in the past.

I create specific learning goals and action steps to work on during mentoring relationships. *

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and have not been able to do this yet; or have not had an experience with doing this in the past.

I regularly share progress towards goals with my mentor. *

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and have not been able to do this yet; or have not had an experience with doing this in the past.

I actively seek out others to provide feedback on strengths and opportunities for growth. *

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and have not been able to do this yet; or have not had an experience with doing this in the past.

I receive feedback from others without defensiveness and express gratitude. *

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and have not been able to do this yet; or have not had an experience with doing this in the past.

I set aside time to reflect on lessons learned from experience. *

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and have not been able to do this yet; or have not had an experience with doing this in the past.

I apply lessons learned from experience to future situations. *

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and have not been able to do this yet; or have not had an experience with doing this in the past.

I consider my mentoring relationship to be a supportive one.

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and cannot answer the question at this time.

Clear selection

I am able to give and receive feedback within my mentoring relationship.

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and cannot answer the question at this time.

Clear selection

I feel as though my mentor is interested in me as a person as well as in my personal and professional growth and development.

1 - Never

2 - Rarely

3 - Sometimes

4 - Often

5 - Always

I am at the beginning of my mentoring relationship and cannot answer the question at this time.

Clear selection

Provide any additional comments below.

IMPORTANT NOTE: Before submitting this form, please PRINT this page or SAVE your self-evaluation results by copying/pasting into a Word Document. We encourage you to share this with your mentor.

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