The purpose of this agreement is to discuss and document the:

Goals you would like to achieve and the focus of your mentoring partnership

Frequency, location and mode of mentoring for the duration or your partnership

Roles and responsibilities of each party
Complete this form during your first mentoring meeting together and refer back to it throughout your
mentoring partnership. This will assist you to stay on track and evaluate your progress.
Mentor: __________________________________ Mentee: ____________________________________
*Date of first meeting: __________________________________________________________________
*Proposed frequency of meetings: (please circle) Weekly Fortnightly Monthly other: _____________
*Proposed Meeting days/times: __________________________________________________________
*Type of Contact/mode of mentoring: (Please tick all that apply)
 Face to face discussion
 Email
 Online discussion using skype or other chat software  Phone conversation
Other (please specify) _________________________________________________________________
Goal setting: It’s important to set goals for your mentoring partnership and document what you would
ultimately like to achieve during your time together in order to remain focused and on track.
Useful information on goal setting can be found on the Online Mentoring Resource Centre.
*Mentee’s specific goals for the program: (eg: to identify and develop my strengths; develop networking
skills; better understanding of the skills needed in the specific industry etc)
1.
____________________________________________________________________________________
2.
____________________________________________________________________________________
3.
____________________________________________________________________________________
Other discussion notes/planned activities: (eg: work site visits, society/association meetings).
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please note it is your responsibility to carefully read, understand and sign the agreement. Once you
(mentee and mentor) have signed the agreement, you must scan and send a copy through to
Student.Development@monash.edu. It is a good idea to send a copy to you mentee or mentor.
We have discussed and agree that:
 We will respect each other’s privacy and keep details of our conversations confidential
 We will give adequate notice, where possible, if we are not able to make an appointment (determine
best method of communicating and who will take initiative)
 If either party decides to discontinue the mentoring partnership before the formal end date, we will
be upfront and notify the other party and the mentoring coordinator of our intention.
 We have both completed the relevant mentoring program training and understand our roles and
responsibilities.
 We have discussed what each of us can bring to the partnership (eg: time commitment, relevant
skills, experience etc)
 We will give feedback at the conclusion of the formal part of the program via the evaluation survey
as to what we gained from being part of the program.
Signatures:
Mentor: __________________________________ Mentee: ____________________________________
Confidentiality: The information in this form will be used in summary only to evaluate the success of the
Monash mentoring program and to further inform better practice. The information and personal details will
not be used for any other purpose unless permission is given by both, the mentor and mentee.