OFFICE OF THE EXECUTIVE SECRETARY SUPREME COURT OF VIRGINIA MENTEE PORTFOLIO FORM Please use black ink so this document will be legible when scanned. (To be completed by Mentor and mentee at the end of each co-mediation session.) Co-Mediation Case # Case Type: Mentee Mediator: Mentor Mediator: Date(s) of Mediation: GDC 1 JDR 2 3 CCC 4 CCF 5 6 7 8 Certification Number: Yes No) (Are you currently certified as a Mentor for this court level? Section I: Skill Development Goals Complete prior to mediation. I. MENTOR & MENTEE: (Review previous co-mediation case portfolio pages.) The mentee and Mentor identified the following goals for the mentee's skill development during the case. Section II: Skill Development Progress Complete after the co-mediation session. II. MENTOR: Describe the mentee's progress toward the skill development goals identified in Section I. FORM ADR-1008 (1/09) American LegalNet, Inc. www.FormsWorkFlow.com 1 Section III: Skill Development Priorities Complete after the co-mediation session or at the conclusion of the case. III. MENTOR: Based on your post-mediation discussions with the mentee and your observations during the case, identify the skill development priorities you recommend for the mentee in subsequent mediations. Include any recommendations you may have for additional training, reading, or other developmental activity. Signature of Mentor Date Signature of Mentee Date FORM ADR-1008 (1/09) American LegalNet, Inc. www.FormsWorkFlow.com 2