Liberal Religious Educators Association (LREDA)

Mentor Reporting Form for the UUA Religious Education Credentialing Program

 

This form is to be filled out by the LREDA mentor.  This form is to be signed by both parties and returned to the Committee on Mentoring and the UUA Office of Religious Education Credentialing in November of each year and also at the time of submission of the candidate’s materials to the UUA Office of R.E. Credentialing at program completion.

 

Mentor name:

Mentor contact information (e-mail, mailing address and telephone):

 

 

 

Credentialing Candidate name:

Contact information:

 

 

 

Start date (the date the mentor and candidate have both agreed to establish the relationship): _______     (The mentor also should inform via email the Director of the UUA Office of Religious Education Credentialing when the relationship is established.)

 

Dates of meetings: [Participants are required to have a mentor for as long as they are in the program, and to be in contact with the mentor for at least one hour per month for no less than ten months per year.]

 

                                    ____________                                    __________                            __________                                       

                                    ____________                                    __________                            __________

 

                                    _____________                                  __________                            ___________

 

_____________                                  __________                            ___________

 

_____________                                  __________                            ___________

 

 

                       

Please check one:

                                      Candidate has reached his/her credentialing goal.                                  _____

                             

                                       Candidate will continue work on his/her mentoring goal;

                                                this mentoring relationship will continue.                                       _____

                                      

                                        Candidate needs to be matched with a new mentor as

                                                he/she continues to work on credentialing.                                                _____

 

                             

__________________________________________________________________________________

Signature, Mentor                                                                              Date

__________________________________________________________________________________

Signature, Candidate                                                                                Date                                                                   

Mail one copy to Karen Lapidus, 6236 Diana Drive, Youngstown, OH 44514 and one copy to the Reverend Beth Williams, Director, Office of Religious Education Credentialing, UUA, 25 Beacon St., Boston, MA 02108