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LES Mentoring Form

Association of College and Research Libraries

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Thank you for your interest in the LES Mentoring Program. Providing the following information will enable the LES Membership Committee to match mentors and mentees according to their needs.

I would like to be a

mentor.

mentee.

Contact Information

Name

Address

Phone

E-mail

Please contact me using my

mailing address.

phone number.

E-mail address.

I work in a

university library.

college library.

other:

My areas of responsibility include:

collection management

reference

instruction

technical services

administration

Other areas of responsibility:

I am responsible for the following subjects/academic departments:

grid instructions

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Mentors, please indicate your level of experience in the following areas. ("5" being most experienced)

Mentees, please indicate your level of interest in receiving mentoring in the following areas. ("5" being most interested)

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Is there anything else we should know about your experience or goals that might help us match you with the best mentor/mentee?

Subject expertise? Expectations of this program?