The document is a 3-page evaluation form for mentors in the Volunteers for Youth SMART Mentor program. It asks mentors to provide feedback on various aspects of the program, their mentoring experience, and their mentoring relationship. Mentors are asked to rate different program components, their satisfaction with the match and experience, their effectiveness, and the impact mentoring had on them personally. They are also asked open-ended questions about how the relationship affected their attitudes, what has been easy and hard about mentoring, beneficial activities done with their mentee, and recommendations for future mentor-mentee pairs.

1. Volunteers for Youth SMART Mentor Evaluation Form 1
VFY MENTOR EVALUATION FORM
Directions: Email completed form to rdatus@live.unc.edu prior or bring completed form with
you to your scheduled mentor exit interview. Thanks for all that you do!
Mentor Name: ______________________________________________
Mentee Name: _________________________________ Mentee’s Age: _________________
I. Program Assessment
What feedback do you have for the social work intern regarding the program?
Please rate each of the following program
components:
Not
Enough
Just Right Too Much
Information about the program was
Information about the mentee
Mentor training
Regular mentor support (from director or intern)
Communication with the social work intern (Becca)
Communication with the director (Susan)
Communication with the parent(s)/guardian(s)

2. Volunteers for Youth SMART Mentor Evaluation Form 2
II. Mentoring Experience Assessment
How satisfied are you with your mentee match?
___ Very Satisfied ___ Satisfied ___ Slightly Satisfied ___ Dissatisfied
How satisfied were you with your experience as a mentor?
___ Very Satisfied ___ Satisfied ___ Slightly Satisfied ___ Dissatisfied
How effective do you feel as a mentor?
__ Very Effective ___Effective ___ Not Very Effective ___Not at All Effective
What is the single most important thing you got out of this experience?
Please indicate the reasons for your feelings (from any of the above questions regarding
mentoring experience):
How did mentoring affect you personally?
(please check all applicable responses)
To a Great
Extent
Somewhat Not At All
I learned new things about myself.
I found it easy to be a mentor.
I met regularly with me mentee.
I was excited to meet with my mentee.
I made sure my mentee understood my role as a
mentor.
I feel like the relationship met my expectations.
I feel like I made a positive impact on my mentee.
I have a better understanding of diversity issues.

3. Volunteers for Youth SMART Mentor Evaluation Form 3
III. Mentoring Relationship Assessment (all short response)
Has your relationship changed your attitudes, values and understanding of young people
today and the realities facing them? If so, in what ways?
What is easy about having a mentee? What is working well?
What are/were two of the most beneficial development activities you did/do with your
mentee?
What is hard about having a mentee? What hasn’t worked?
Recommendations I’d make for other mentor-mentee pairs in the future: