Downloadable file:

NCCACRP Mentoring Worksheet.docx

NCCACRP Mentoring Worksheet

Mentee’s name: ________ ****

Top 3 strengths today:

Short term goals (1-3 years):

Long term goals (4-5 years):

Goal Description (may be repeated as needed for the multiple goals)

Describe how you would like to enhance your knowledge, skills, abilities, and effectiveness. Include WHY you are working on this goal and the impact of not making progress on the goal:

What are specific activities you will perform to develop that the skill targeted in the developmental goal above. Activities should be specific, measurable, actionable, realistic, and timebound. Identify resources needed for each item: