2021 ACHSM Mentoring program– MENTOR APPLICATION

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  • 2021 ACHSM Mentoring Program – MENTOR APPLICATION

  • Part A: Personal details










  • Part B: Professional details

  • Part C: Your objectives from participating in the Mentoring Program

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    • PART D: EXPERIENCE AND EXPERTISE SUMMARY




















    • MENTOR COMMITMENT TO THE MENTORING PROGRAM

    • Mentor Responsibilities Statement

      1. To provide information, guidance, constructive comments and an empathic ear; 
      2. To ensure absolute confidentiality of matters discussed and information supplied by the Mentee;
      3. To work with the Mentee to identify their objectives arising from participation in the Mentoring Program and to collaboratively develop a program to address these;
      4. To provide a confidential and personalised source of career advice, support and guidance to the Mentee;
      5. To provide the Mentee with advice and assistance in identifying personal development needs and how to address these;
      6. To assist the Mentee to establish a network of support within the health system;
      7. To assist the Mentee develop an understanding of the overall health system;
      8. To facilitate the Mentee’s professional growth;
      9. To meet face-to-face with the Mentee regularly (at least once every 2 months), and at short notice if possible in special situations and to maintain contact more frequently by telephone and e-mail, as agreed with the Mentee;
      10. To undertake reviews of the Mentee’s performance and progress at the request of the Mentee during the year;
      11. To participate in evaluation of the Mentoring Program; and
      12. To attend the Orientation session, where practical.