Republic of the Philippines

Department of Education
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

Course 1 Session 4:
Task# 3 MENTORING PLAN

Mentoring Journal
Name of Employee Quarter 1
Department Quarter 2
Name of Mentor Quarter 3
Date of Meeting Quarter 4

Target/Purpose Mechanism Remarks

Activity Individual Group
SUBJECT FINAL OUTPUT
On-line On-line

Mentoring
Face to Face Face to Face

Others (Pls. Others (Pls.

Specify) Specify)

Task Status
QUESTIONNAIRE: Notes/Feedback Week 1 Week 2 Week 3 Week 4 Remarks
1) What is going well at
work?
2) What is not going well?
3) What will your goals be
for the next meeting?
DATE OF NEXT MEETING AND SIGNATURE:
Mentored by: Conformed:

Immediate Superior/Mentor Mentee

Prepared/Submitted by:
GRACE B. VERIDIANO
Bagolatao National High School, Minalabac District
SDO Camarines Sur
RUBRICS

5 4 3 2 1
Contains all elements Contains 3 Contains 2 elements Contains 1 element Plan does not have
of the plan , elements of the of the plan of the plan in required elements.
represented clearly in plan represented in represented in unclear words with Pictures and words
words with a lot of words with thought words with thought little thought put do not represent
thought put into the put into the goals put into the goals into the goals and goals or vision.
goals and visions and visions and visions visions

Prepared/Submitted by:
GRACE B. VERIDIANO
Bagolatao National High School, Minalabac District
SDO Camarines Sur