CSM Faculty Mentor/Partner Agreement and Development Plan
Mentors please fill out a new form for each partner you have.

We are voluntarily entering into a mentoring relationship that we expect to benefit both of us and the College of Southern Maryland. We want this to be a rewarding experience with most of our time together spent in an exchange of ideas about teaching. Questions with an asterisk are required. Please answer them.

Mentor Last Name *
Your answer
Mentor First Name *
Your answer
Is mentor full-time faculty? *
What Campus is the Mentor at? *
What Division is the Mentor In? *
Please choose the division that the mentor is in
Partner Last Name *
Your answer
Partner First Name *
Your answer
What Division is the partner In or teaching for? *
Is partner full-time faculty? *
What Campus is the Partner at? *
Please choose the Term this partnership will occur *
Please choose the Year this partnership will occur *
To establish a mutually acceptable understanding of our responsibilities, we have discussed and agree to the following administrative details of our mentor/partner relationship: Weekly contact (at minimum) will be carried out through: *
Best meeting time, based on our schedules: *
Please try to enter the days and times you plan to meet during the semester
Your answer
We agree that the mentor may be enrolled in the learning management system shell in the following role(s):
We have discussed the mentoring experience as it relates to faculty development and its relationship to the policies and procedures of the college, and we understand the limits of confidentiality in the mentoring relationship. *
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