Appendix II
MENTORING GOAL FORM* (To be completed by the protégé.)
Name:
Date:
What do you want to achieve through engaging in the mentoring relationship? Complete this form and discuss your goals with your mentor. Examine your goals periodically, and discuss progress made.
What is Goal #1:
- Benefits to You:
- Potential Barriers to Success:
- Resources/Support Needed to Achieve Goal:
- How Progress Will Be Measured:
What is Goal #2:
- Benefits to You:
- Potential Barriers to Success:
- Resources / Support Needed to Achieve Goal:
- How Progress Will Be Measured:
What is Goal #3:
- Benefits to You:
- Potential Barriers to Success:
- Resources / Support Needed to Achieve Goal:
- How Progress Will Be Measured:
What is Goal #4:
- Benefits to You:
- Potential Barriers to Success:
- Resources/Support Needed to Achieve Goal:
- How Progress Will Be Measured:
What is Goal #5:
- Benefits to You:
- Potential Barriers to Success:
- Resources/Support Needed to Achieve Goal:
- How Progress Will Be Measured: