Mentor/Mentee Match Commitment

Mentor/Mentee Match Commitment

Date Matched __________________________________________

Mentor’s Name _____________________________________

                                                                              (Please Print)

By my signature below:

 I agree to be matched with the named Mentee.

 I agree to commit to 1 hour of contact per week (4 hours per month) for 12 months

 I understand that if this match doesn’t work out, I may have the option to be matched with a different Mentee.

 I agree to contact the Program Manager before terminating contact with my Mentee.

Mentor Signature __________________________Date __________________________

Program Manager__________________________ Date __________________________

Mentee’s Name ___________________________

                                                                      (Please Print)

By my signature below:

 I agree to be matched with the named Navigator.

 I agree to commit to 1 hour of contact per week (4 hours per month) for 12 months

 I understand that if this match doesn’t work out, I may have the option to be matched with a different Navigator.

 I agree to contact the Program Manager before terminating contact with my Navigator

Mentee Signature ______________________________Date _______________________