Mentoring - Mentor Interest Survey (PDF)

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This manual is part of the THE SUCCESSFUL CLUB SERIES.

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Mentoring - Mentor Interest Survey (PDF)

  1. 1. MENTORINTEREST SURVEYA mentor is a more experienced member who takes a personal interest in and helps another member. Mentors serve as role models,coaches, and confidantes, offering knowledge, insight, perspective, or wisdom useful to the other member. A mentor can help a newmember become familiar with our club or can assist a more experienced member in learning special skills.Please check all that apply: □□ Yes, I would like to mentor a new member. □□ Yes, I would like to mentor a more experienced member. □□ I am a new member and would like to have an assigned mentor. □□ I am a more experienced member and would like to have a mentor help me develop special skills. Please pair me with a mentor who can help me with the following skill(s): __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________Name_____________________________________________________________________________   Date _____________________Address_____________________________________________________________________________________________________Telephone No. Day________________________________________   Evening ____________________________________________Fax No.__________________________________   E-mail Address _______________________________________________________Please give this completed form to your vice president education.For the vice president education to use:I have assigned _________________________________________ to be a mentor to ________________________________________ MENTOR’S NAME MENTEE’S NAME© 2011 Toastmasters International. All rights reserved. Toastmasters International, the Toastmasters International logo and all other Toastmasters International trade-marks and copyrights are the sole property of Toastmasters International and may be used only by permission.Rev. 3/2011 Item 1163A

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