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The purpose of this template is to assist you in documenting mutually agreed upon goals and
parameters that will serve as the foundation for your mentoring relationships. This template is
expected to be altered to meet individual needs.
1. Goals (what you hope to achieve as a result of this relationship; e.g., gain perspective
relative to skills necessary for success in your role, explore new career
opportunities/alternatives, obtain knowledge of organizational culture, networking, leadership
skill development, etc.)
2. Steps to achieving goals as stated above (e.g., meeting regularly, manuscripts/grants,
collaborating on research projects, steps to achieving independence, etc.):
3. Meeting frequency (frequency, duration, and location of meetings - at least twice a month):
4. Confidentiality: Any sensitive issues that we discuss will be held in the strictest of confidence.
Issues that are off limits for discussion include:
5. Relationship termination clause: In the event that either party finds the mentoring relationship
unproductive and requests that it be terminated, we agree to honor that individual’s decision
without question or blame.
_________________________
Mentor Signature
_________________________
Mentee Signature

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Mentoring Relationship Goals and Parameters Template

  • 1. The purpose of this template is to assist you in documenting mutually agreed upon goals and parameters that will serve as the foundation for your mentoring relationships. This template is expected to be altered to meet individual needs. 1. Goals (what you hope to achieve as a result of this relationship; e.g., gain perspective relative to skills necessary for success in your role, explore new career opportunities/alternatives, obtain knowledge of organizational culture, networking, leadership skill development, etc.) 2. Steps to achieving goals as stated above (e.g., meeting regularly, manuscripts/grants, collaborating on research projects, steps to achieving independence, etc.): 3. Meeting frequency (frequency, duration, and location of meetings - at least twice a month): 4. Confidentiality: Any sensitive issues that we discuss will be held in the strictest of confidence. Issues that are off limits for discussion include: 5. Relationship termination clause: In the event that either party finds the mentoring relationship unproductive and requests that it be terminated, we agree to honor that individual’s decision without question or blame. _________________________ Mentor Signature _________________________ Mentee Signature