I NDIVIDUALIZED M ENTORING P LAN (IMP) Program Year: October 2009 – September 2010 Mentee Name: Mentee Email: Mentee Phone: Mentor Name: Mentor Email: Mentor Phone: IMP Section (This Document) Completion Date Section 1: Learning (Page 3) Section 2: Connecting (Page 4) Section 3: Thriving (Page 5) Section 4: Working (Page 6) Section 5: Leading (Page 7) Section 6: The Disability Piece (Page 8) Development and Leadership Goals (Page 2) IMP Updates (Separate Documents) Completion Date IMP Quarterly Update 1 (by March 31) IMP Quarterly Update 2 (by June 30) Transition Plan (by September 30) Ready to Achieve Mentoring Program – Individualized Mentoring Plan (IMP) – Page 1 of 8 DEVELOPMENT AND LEADERSHIP GOALS After completing Sections 1 – 6 of this plan, develop three overall youth development and leadership goals. 1.) _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ 2.) _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ 3.) _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Mentee Signature Date Mentor Signature Date Ready to Achieve Mentoring Program – Individualized Mentoring Plan (IMP) – Page 2 of 8 SECTION 1: LEARNING Positive basic and applied academic attitudes, skills, and behaviors ASSESSING Identify three traits or strengths of the mentee to leverage and three areas for development in the area of Learning. Strengths 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Areas for Development 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Identify three things that the mentee would like to learn about or learn how to do in the area of Learning over the next year. 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ ACTIONS and ACCOUNTABILITY In the table below, identify specific actions the mentor and mentee will take over the next year to help the mentee grow in the area of Learning. Also, identify how the mentor and mentee will be accountable to each other to make sure these actions are completed. Actions (What We Will Do) Accountability (How We Know We Did It) Mentee Mentor Ready to Achieve Mentoring Program – Individualized Mentoring Plan (IMP) – Page 3 of 8 SECTION 2: CONNECTING Positive social behaviors, skills, and attitudes ASSESSING Identify three traits or strengths of the mentee to leverage and three areas for development in the area of Connecting. Strengths 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Areas for Development 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Identify three things that the mentee would like to learn about or learn how to do in the area of Connecting over the next year. 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ ACTIONS and ACCOUNTABILITY In the table below, identify specific actions the mentor and mentee will take over the next year to help the mentee grow in the area of Connecting. Also, identify how the mentor and mentee will be accountable to each other to make sure these actions are completed. Actions (What We Will Do) Accountability (How We Know We Did It) Mentee Mentor Ready to Achieve Mentoring Program – Individualized Mentoring Plan (IMP) – Page 4 of 8 SECTION 3: THRIVING Positive social behaviors, skills, and attitudes that are demonstrated by maintaining optimal physical and emotional wellbeing ASSESSING Identify three traits or strengths of the mentee to leverage and three areas for development in the area of Thriving. Strengths 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Areas for Development 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Identify three things that the mentee would like to learn about or learn how to do in the area of Thriving over the next year. 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ ACTIONS and ACCOUNTABILITY In the table below, identify specific actions the mentor and mentee will take over the next year to help the mentee grow in the area of Thriving. Also, identify how the mentor and mentee will be accountable to each other to make sure these actions are completed. Actions (What We Will Do) Accountability (How We Know We Did It) Mentee Mentor Ready to Achieve Mentoring Program – Individualized Mentoring Plan (IMP) – Page 5 of 8 Positive attitudes, skills, and behaviors around vocational direction SECTION 4: WORKING ASSESSING Identify three traits or strengths of the mentee to leverage and three areas for development in the area of Working. Strengths 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Areas for Development 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Identify three things that the mentee would like to learn about or learn how to do in the area of Working over the next year. 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ ACTIONS and ACCOUNTABILITY In the table below, identify specific actions the mentor and mentee will take over the next year to help the mentee grow in the area of Working. Also, identify how the mentor and mentee will be accountable to each other to make sure these actions are completed. Actions (What We Will Do) Accountability (How We Know We Did It) Mentee Mentor Ready to Achieve Mentoring Program – Individualized Mentoring Plan (IMP) – Page 6 of 8 SECTION 5: LEADING Positive skills, attitudes, and behaviors around civic involvement and personal goal setting ASSESSING Identify three traits or strengths of the mentee to leverage and three areas for development in the area of Leading. Strengths 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Areas for Development 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Identify three things that the mentee would like to learn about or learn how to do in the area of Leading over the next year. 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ ACTIONS and ACCOUNTABILITY In the table below, identify specific actions the mentor and mentee will take over the next year to help the mentee grow in the area of Leading. Also, identify how the mentor and mentee will be accountable to each other to make sure these actions are completed. Actions (What We Will Do) Accountability (How We Know We Did It) Mentee Mentor Ready to Achieve Mentoring Program – Individualized Mentoring Plan (IMP) – Page 7 of 8 SECTION 6: THE DISABILITY PIECE List three things the mentee would like to improve upon as it relates to his/her disability (e.g., asking for accommodations, keeping track of their benefits information). 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ List three steps the mentee will take to learn more about disability history. 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ List three ways that the mentor will help the mentee become more familiar with organizations and leaders in the disability community. 1.) ________________________________________________________________________ 2.) ________________________________________________________________________ 3.) ________________________________________________________________________ Use the space below to record any additional information: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Ready to Achieve Mentoring Program – Individualized Mentoring Plan (IMP) – Page 8 of 8
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