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Run: Mentoring Agreement for Development Pairs

A mentoring agreement form for development pairs to set goals, meeting cadence, confidentiality, boundaries, and check-ins before the first session.

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Agreement Overview

Mentorship Program Name (required)

Mentor Name (required)

Mentee Name (required)

Agreement Start Date (required)

Agreement End Date

Development Goals

Primary Development Goal (required)

Describe the main skill, capability, or outcome the mentee wants to develop.

Supporting Goals

Add additional goals if needed.

Goal Timeframe (required)

Meeting Cadence and Communication

Meeting Frequency (required)

Typical Meeting Duration (minutes) (required)

Preferred Meeting Format (required)

Between-Meeting Communication Preferences

Describe preferred channels, response-time expectations, and any boundaries.

Confidentiality and Boundaries

Confidentiality Agreement (required)

Yes No N/A

Confidentiality Limits or Exceptions

Use this field to note any topics that should not be treated as confidential or any required escalation paths.

Boundaries and Working Norms

Describe topics to avoid, preferred feedback style, and any meeting or communication boundaries.

Reasonable Accommodation Needed? (required)

Accommodation Details

Describe any accessibility or scheduling accommodations needed to support participation.

Success Measures and Check-ins

Success Measures (required)

List observable indicators of progress, such as completed actions, new skills, or specific outcomes.

Progress Check-in Frequency (required)

Support Needed From Program Owner

Next Review Date

Acknowledgement and Submission

Consent to Use Submitted Information for Mentoring Program Administration (required)

Yes No N/A

Mentor Acknowledgement (required)

Mentee Acknowledgement (required)

Additional Notes

Optional notes for the program owner.

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Email (required)

Your name (optional)

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