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Mentee Registration Form

MENTEE INFORMATION

Date: _______________________ Ref Number: ___________

Mentee Names: ____________________________________ID___________________________________

Country______________________________ Province/State: _____________________________________

Highest School Grade: _________________Tertiary Qualification________________________________

Business Name;____________ _________________________________________

Nature of Services: __________ ________________________________________

Position at Work/Business______________________________

Employed Self Employed

Tel: ______________________________________Email: _________________________________________

Website________________________________

MENTORSHIP ON:

Personal Business

DURATION OF MENTORSHIP

Once Off 3 Months 6 Months 12 Months

STATUS OF THE BUSINESS (Existing or Proposed)

Mark more than one if Applicable: New Still Planning Existing

Registered Partners, How many___________________

Business Name (If any)____________ _________________________________________

Reg No:__________________________

Type of Business owning/to start: ____________________________________________

FIVE AREAS OF FOCUS DURING THE PROGRAMME/SESSION:

1_________________________________________________________________________________________2_________________________________________________________________________________________3_________________________________________________________________________________________4_________________________________________________________________________________________5_________________________________________________________________________________________

Do you have: Business Plan Profile

STOCK DONATION NEEDED (Fill This part if you have a need for a stock)

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

STOCK VALUE: ____________________________

EXPECTED GROSS PROFIT: ____________________________

THE TIME IT WILL TAKE TO SELL THE STOCK: ____________________________

SUPPLIER YOU NEED ASSISTANCE FROM

________________________________________________________

Address

________________________________________________________

________________________________________________________

BACKGROUND ABOUT YOURSELF AND BUSINESS EXPERIENCE/KNOWLEDGE (It must fit in the space in the Box or less)

1. Your Background

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(Please send your Full CV/Profile via email)

2. Business Interest and when and how did it start

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3. Other Business interests

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4. Your Five year Plan

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Acknowledgement and Terms

In consideration, therefore, of the mutual agreement herein and other valuable consideration, the undersigned agree to the terms set on this document and Mentors Without Borders is given mandate to proceed with Program. The mentee undertakes and acknowledge by the signature below that:

1. The mentee agrees to hold harmless Mentors Without Borders, its owner, employees or any other member of Mentors Without Borders, from any and all liabilities, claims and demand and actions whatsoever, specifically including those related to any advice given, recommendation made, suggested programmes and any other related material.

2. Mentee has sole responsibility of implementation of the advice given, recommendations made or programme suggested by Mentors Without Borders.

3. Mentee acknowledges receipt of advice that led to the decision of doing business with Mentors Without Borders and Mentee agreed to be part of the program with full understanding of the services to be provided.

Signed: ___________________________________ Date: __________________________

Mentee

Mentors Without Borders Rep: ________________ Date: ____________________

INDIVIDUAL DEVELOPMENT PLAN:

Fill the information below at your own pace, only submit the top part that has signature back

What is an IDP?

• A written plan that outlines what career goals or other personal goals you want to accomplish and what steps the mentee can take to meet those goals.

• A tool used to identify, organize and plan career or accomplishment of goals.

• A tool for creating a personalized plan that best reflects your career aspirations, whether you want to plan for professional development, promotional opportunities or other life goals.

Why have an IDP?

• To focus your business efforts and identify individual work goals.

• To use as a communication, development and/or planning tool.

• To assist in obtaining resources, (e.g., funding , business information);

• To serve as your career action plan for skill building, professional development and business management

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Using strengths to promote goals

This goal-setting model uses individuals’ strengths to promote the achievement of short and long term goals. Through this model, you will gain an additional tool to build goals for yourself and your mentee.

You can think of each step as an area in which you can help your mentee to develop skills. By giving young people opportunities to practise any and all of these steps, you give the incredible tools to achieve their potential.

SETTING GOALS

Step 1: Defining strengths

|The first step in this model is to define personal strengths. What are the qualities, skills and characteristics that you would |

|define as your strengths? |

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|What are the abilities that you bring with you that you can use as a foundation for future success? |

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|Step 2: Envisioning the future |

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|Step 2 will help you see the big picture. What is |

|Your ideal future like? |

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|How do you want to be living in 10 or 20 years? |

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|What do you want to achieve in the long Term? |

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|By thinking long term, you will gain Insight into what you truly value. This will help to connect your goals and short-term |

|activities with your long-term dreams. |

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|Step 3: Goals for action |

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|Having reflected on your personal strengths and vision for the future, choose three to five short-term goals that will help to move |

|you towards that long-term vision |

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Step 4: Concrete tasks

|What specific and concrete activities can you start doing now to start you on your way to achieving these goals? Describe each |

|activity and set a date by which you plan to accomplish the activity. |

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Step 5: Problem-planning

|Think about potential barriers in your goal setting. What can get in the way of achieving your goals? What preventive steps can you |

|take to prepare you for overcoming these barriers? |

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Step 6: Reflection

|After you have worked towards your short-term goals, you should spend some time reflecting on how your goal-achieving activities |

|worked. What did you learn? Have your goals changed? What specific activities worked or didn’t work? |

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SETTING ACTION PLAN AND TIME-LINE

Step 1: Defining your personal strengths

|Think about your personal resources that can help you in goal setting. |

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|Strength 1: ______________________________________________________________________ |

|Strength 2: ______________________________________________________________________ |

|Strength 3: ______________________________________________________________________ |

|Strength 4: ______________________________________________________________________ |

Step 2: Envisioning your future

|Where do you see yourself in 10 or 20 years? What do you want to be doing in the long term? |

|Describe your vision: |

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Step 3: Establishing short-term goals

|What are three short-term goals you can accomplish that relate to your long-term vision? |

|Goal 1: ______________________________________________________________________ |

|Goal 2: ______________________________________________________________________ |

|Goal 3: _______________________________________________________________________ |

Step 4: Goal activities

|Describe activities that will help you achieve your goals. | |

|Set concrete dates for when you will accomplish these | |

|activities. If this is a recurring activity, describe how | |

|often you will do it (e.g. once a day, once a month). | |

|Activity 1: |Date this will be accomplished: |

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|Activity 2: |Date this will be accomplished: |

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|Activity 3: |Date this will be accomplished: |

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Step 5: Planning for potential barriers

|What are the barriers that might prevent you from | |

|accomplishing your goal? What steps can you take to overcome| |

|these barriers? | |

|Barrier 1: |Preventive step: |

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|Barrier 2: |Preventive step: |

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|Barrier 3: |Preventive step: |

Step 6: Reflection

|This step should be done throughout the goal-setting process. |

|What did you learn? How have you changed since working on your goals? |

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