Mentee Intake Form
The Mentee Intake Form will help us match you with the ideal mentor and allow them to tailor the mentorship experience to best support your goals and needs.
FULL NAME
PERSONALIZED PREFERENCES
- Main Communication Preference: Email • Chat function • Face to face • Virtual call • Phone call
- Meeting Communication Preference: Face to face • Virtual call • Phone call
- Learning Style: Visual Auditory • Kinesthetic • Reading/Writing
- Work Orientation: Job • Career • Calling orientated
- Top Strengths:
Note: There are various free or paid assessment platforms available to help identify top strengths. - Coaching Communication Style Preference: Direct • Supportive • Gentle • Collaborative • Detailed • Solution-Focused
PROFESSIONAL BACKGROUND AND ASPIRATIONS
- Current Job Title and Responsibilities
- Overall Career Experience
- Experience in Current Field and Department
- Career Goals for the Next 5 Years
- What parts of your current work or career do you enjoy the most?
- What strengths would you like to further enhance?
- Are there any areas of improvement or skills you seek guidance on?
MOTIVATION FOR SEEKING A MENTOR AND INSIGHTS
- Why are you seeking a mentor?
- What goals do you want to achieve through this mentorship program?
- What strengths do you look for in a mentor?
- Have you had a mentorship experience in the past? If yes, what went well and what could have been improved?
- Is there anything else your mentor should know about you?
Thank you for completing the Mentee Intake Form. We deeply appreciate your effort in sharing this valuable information, as it will help us gain a clearer understanding of your goals and needs. This will allow us to match you with a mentor who is best suited to support your journey.
For more information about this material, email kmcclain@praeliscere.com or visit https://praeliscere.com/. Copyright Kathryn McClain.
The Mentee Intake Form is designed to gain insight into key factors that support a strong partnership between a Mentor and Mentee. When the best partnership is selected, these insights are used to shape an experience that is intentionally tailored to support the mentee.
The Form dives into:
- Personalized Preferences
- Professional Background and Aspirations
- Motivation for Seeking a Mentor and Insights
Facilitator Notes
- Personalization: As the facilitator, you are encouraged to adjust the exercise to meet the needs of all team members.
- Pre-Communication: Share agenda or exercise document at least 48 hours prior to exercise/training. This will allow time for individuals to review and ask clarifying questions prior to the meeting. Make sure to include session length of time and expectations in prior communication (e.g., if virtual, cameras/microphones expectations).
- Directed Examples: Provide relevant examples when going through sections.
- Psychological Safety: No calling on individual participants to put them on the spot.
Keep in mind when delivering your exercise/training those that are neurodivergent, non-native English speakers/ESL, introverts, internal processors, and those that may be burned out/cognitive overload.
Discover Praeliscere’s Mentoring Hub. Select the title to go directly to the resource.
Ongoing Application and Reinforcement
After a training, exercise, or assessment is completed, ongoing application and reinforcement become the focus. Learning is sustained through follow-up trainings, exercises, and/or micro-learning opportunities, as well as by integrating the topic into goals, performance conversations, recognition efforts, and peer learning groups.
As individuals build knowledge, experience, and confidence, they are empowered to lead, share insights, and support others in applying the learning as well. This approach reflects the meaning of Praeliscere with Learn, Apply, Lead.
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