Sample Forms
The following sample forms have been pulled from the National Mentoring Center book Generic Mentoring Program Policy and Procedure Manual and are provided here in PDF form as examples that programs can draw from in the creation of their own forms. We strongly encourage programs to make sure that any forms they use are cleared by their program administrators, board, or legal counsel when appropriate. Ideally every program should keep all their forms as part of a policy and procedure, or operations, manual.
Mentee Forms
- Acceptance Letter
- Application
- Assessment Summary
- Contact Sheet
- Contract
- Exit Survey
- Interest Survey
- Interview
- Referral
- Rejection Letter
- Report Log
Mentor Forms
- Acceptance Letter
- Application
- Assessment Summary
- Contact Sheet
- Contract
- Exit Survey
- Interest Survey
- Interview
- Job Description
- Rejection Letter
- Report Log
Parent/Guardian Forms
Other Forms
- Match Goal Setting and Reflection Worksheet
- Closure Letter
- Information Release
- Match Closure Summary
- Match Worksheet
- Memorandum of Understanding
- Personal References
- Program Coordinator: Mentoring Job Description
- Volunteer Inquiry Tracking
