Rev (2-26-19) Mentorship Program 2018 - 2019
Butte College Professional Development 2018 - 2019
New Faculty Mentorship
Program Information
An opportunity to share ideas
Mentorships offer faculty the opportunity to share ideas on classroom teaching and the work environment, and
to improve skills, enhance knowledge, explore issues, and increase collegiality.
Full-time faculty receive a maximum of up to fifteen (15) hours Flex credit per mentorship.
Pre-approval is needed by the Faculty Professional Development Coordinator.
Forming a mentorship
A completed “Forming the Mentorship” form is required from each member of the group at the start of the
Mentorship.
How to form a mentorship
Two steps for a mentorship
Mentorships require a two-step process. The first step establishes the mentorship and informs the area Dean
and the Professional Development Office of its existence. The second step tracks the mentorship throughout its
duration. This step provides an accounting to the Professional Development Office and to the Chancellor’s Office
for the Flex hours.
A mentorship form for each partner is required
Two forms are needed by each participant to conduct and track a mentorship. The first is the Forming the
Mentorship form (at the bottom of this page), which establishes the mentorship for each person involved.
Each participant must complete this form at the start of the mentorship. Deliver a copy of this
form (this page only) to the Professional Development Office at the start of the mentorship.
The second form, called Tracking the Mentorship (on the back of this page), keeps an ongoing record of
the meeting dates, time spent, and the content and value of the discussions. Each participant must complete
and sign this form, too.
Deliver the Tracking the Mentorship form, completed and signed, to the Professional Development Office
at the end of the mentorship.
Date ___/___/______
Mentorship Program Step 1 Forming the Mentorship
Please print clearly Copy and return this form to Professional Development Office Now. See information above.
Your Name _______________________________________ This Mentorship is for the _________ Academic Year.
Full-time Faculty _____ Associate Faculty _____
Department/Workplace: ___________________________ Phone ________________ E-Mail ____________________
Participant Name(s): _____________________________________________________________________________
Purpose of the Mentorship: __________________________________________________________________________
________________________________________________________________________________________________
Date received in PDO ___/___/______ Approved: ______________________________________________
IMPORTANT! Copy and return this front page to the Professional Development office now, at
the beginning of the Mentorship.
Rev (2-26-19) Mentorship Program 2018 - 2019
Butte College Professional Development 2018 - 2019
Mentorship Program Step 2 Tracking the Mentorship
Each participant must fill out a separate form as the mentorship progresses. See info page.
Your Name: _________________________ Dept/Workplace: ____________________ Phone: _________________
Full-time Faculty _____ Associate Faculty _____
ID/ _________________________ Mentorship was for: Academic Year 20____ - 20 ____
Participant Name(s): _______________________________________________________________________________
_________________________________________________________________________________________________
Please maintain a record of contacts made during the Mentorship.
Date
Nature, content and value of discussion. (Attach pages if needed.)
Time Spent
For Professional Development Office Use Only
____________________________________________ Date ___/___/______ Approved Hours: __________
Approved by Professional Development Coordinator