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ANR Mentor Application Questionnaire

Prospective Mentor: Please fill out this questionnaire.

Information:

ANR Learning & Development is launching its 8th annual Mentorship Program. This 9-month program will start February 2026 (start date TBD) and runs through October 2026 (with a Mentee only celebration in November 2026).

This volunteer program pairs you with ANR staff or academic who seeks to develop themselves professionally. As an ANR mentor you will have the opportunity to grow professionally, too. Here are Mentor participation responsibilities:

We are looking for committed mentors to support this program. The mentor commitments:

Participation in an online Mentor Orientation (TBD January 2026)
Regular monthly meetings (conference video/calls) with your mentee, and
In-person Mentorship Program Orientation (Davis ANR Building, April 2026 TBD)

For academic mentors: We ask that you have at least one successful merit or promotion.

A Mentee-only Celebration & Debrief will take place TBD November 2026.

For more information on what it means to be a mentor, please consult the UC Davis Mentor roles, responsibilities, and characteristics page.

Our goal is to identify many more mentors than we need, please understand that even if you apply, you may not be paired with a mentee.

✻ = Required

First and Last Name ✻

Email address ✻

Phone # ✻

Unit ✻

Payroll Title ✻

Working title ✻

Number of years with UC ANR. ✻

1-2 3-5 6-10 11 or more

Supervisor name ✻

Supervisor email ✻

Number of years in current position ✻

1-2 3-5 6-10 11 or more

What do you enjoy about your career at UC ANR? ✻

How have you benefited from a Mentor; a person who supported your personal and professional growth by sharing their knowledge and experience? ✻

Other topics that you would like to share? ✻

If you were paired with a Mentee who works in a different location, how would you prefer to communicate? You can pick more than one choice. ✻

Regularly scheduled Zoom video or phone calls (schedule all video/calls from the beginning) Scheduled Zoom video or phone calls on a month-by-month basis (schedule as you go) Ad hoc vs. prescheduled Zoom video or phone calls (mentee can contact you at last minute to see if you are free) Phone calls only (instead of video calls) Email (in addition to monthly video or phone calls) Texting Other?

What are your other communication preferences?

What other characteristics or skills would make you a good mentor? ✻

I am an academic or staff UC ANR employee. ✻

Academic Staff

Academic Mentor: What other strengths and skills can you help another academic with?

What specific technical area(s) could you provide assistance in for your mentee? ✻

Is there anything else you would like us to know?

Please add your name in the text field to show that you agree to let your supervisor know and commit to participating in the following Mentorship Program events/meetings:

1. Mentor Orientation - Online
2. Mentorship Program Orientation (mentors & mentees)- Online/or In person
3. Strengthfinder Session - Online
5. Meeting with your mentee via conference call or Zoom (or in person if possible) once/month for 9 months.

Travel to the Orientation is funded by ANR Learning & Development. We do not provide additional travel for other in-person meetings with your mentee. However, we recommend you meet in person at least once, if possible. ✻

Show us you are not a robot by entering this code: 2MENTOR ✻

Please upload your headshot below. This will be placed next to your bio in the mentor booklet.

File type should be JPEG, PNG, GIF, or TIFF

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