Mentor Application Form
Please complete the form to share more about your background and your motivation for taking on a mentoring role. If selected as a formal mentor, the information you provide will help us match you with a mentee who aligns with your expertise and mentorship style.
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.
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?
- Have you previously mentored or been part of a mentorship program? If yes, please describe your experience.
MOTIVATION FOR SEEKING TO BECOME A MENTOR
- What inspired you to become a mentor?
- What do you hope to gain and accomplish from this mentoring program?
- Define what success would look like to you in this mentorship program.
MENTORSHIP APPROACH AND STYLE
- How do you prefer to communicate with mentees (e.g. in-person, email, video calls, phone)?
- Do you have a preference with how you communicate coaching (e.g. Direct, Supportive, Gentle, Collaborative, Detailed, Solution-Focused)?
- How much time can you realistically commit to mentoring each month?
- Do you have any time constraints that might impact your availability during the mentorship?
SKILLS AND STRENGTHS
- What are your areas of expertise or skills?
- How do you encourage mentees to set goals and track progress?
- How do you approach mentoring individuals with a different background than yours?
- What challenges have you faced in previous mentoring relationships? How did you overcome them?
- Is there anything else you’d like to share about yourself?
Thank you for taking the time to complete the Mentor Application Form. We truly appreciate your interest and dedication to becoming a mentor, and we are excited to learn more about your qualifications and experiences.
For more information about this material, email kmcclain@praeliscere.com or visit https://praeliscere.com/. Copyright Kathryn McClain.
The Mentor Application 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, this form then becomes a guide for insights into making the experience tailored to each individual.
The Form dives into:
- Personalized Preferences
- Professional Background and Aspirations
- Motivation for Seeking to Become a Mentor
- Mentorship Approach and Style
- Skills and Strengths
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.
Discover Your Next Resource
Dive into each Hub for further exploration and resources.
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