Branford Pre-Med Mentoring Contract

This contract is between the Branford Student and his/her Pre-Med Faculty Mentor. The mentee and mentor should complete the form individually, and then joint review and discuss each person’s answers in order to reach an agreement. The Mentee is responsible for keeping a signed copy of the contract and reviewing/updating as necessary.

Mentee Name: ______

Mentor Name: ______

1.  What type of assistance does the mentee want from the mentor?

2.  What expectations does the mentor have of the mentee?

3.  What expectations does the mentee have of the mentor?

4.  How often will you meet?

5.  When and where will you meet?

6.  For how long?

7.  Who will be responsible for scheduling the meetings?

8.  What will meeting topics include?

9.  What will be the ground rules for discussions? (e.g. confidentiality, openness, candor, truthfulness, etc.)

10.  We have agreed that our initial meetings will focus on these three topics:

11.  Any additional areas/issues you want to discuss and agree on?

12.  If problems arise, how will they be resolved?

13.  How will you determine if you have achieved the desired objectives? (i.e. How will the mentoring partnership end? e.g. graduation)

I have reviewed and approve the above agreement. I understand that either party can withdraw from the mentoring relationship at any time, especially if the above expectations of the mentoring partnership cannot be met.

______

Mentor Signature Date

______

Mentee Signature Date

1

1/09