Mentee Beginning/Mid-Year Self-Evaluation Form ©
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
Your answer
Class Year or Job Title/Department
Example: Sophomore, Senior (for students), Program Coordinator/ZSR Library (for faculty/staff)
Your answer
Please indicate the type of mentoring relationship in which you are currently involved:
If participating in a Formal Mentoring Program, please list the name of the program:
Examples: First Year in Focus, Magnolia Scholars, CHARGE
Your answer
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.
I keep commitments with others by doing what I say I will do and showing up for meetings on time and prepared.
I create specific learning goals and action steps to work on during mentoring relationships.
I regularly share progress towards goals with my mentor.
I actively seek out others to provide feedback on strengths and opportunities for growth.
I receive feedback from others without defensiveness and express gratitude.
I set aside time to reflect on lessons learned from experience.
I apply lessons learned from experience to future situations.
I consider my mentoring relationship to be a supportive one.
I am able to give and receive feedback within my mentoring relationship.
I feel as though my mentor is interested in me as a person as well as in my personal and professional growth and development.
Provide any additional comments below.
Your answer
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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