Mentee Application

SBC Mentorship Program

Mentee Application

Thank you for your interest in our mentorship opportunity!

Our primary goal is to match experienced, MSWBE certified business owners with business owners actively seeking to become certified.

The SBC will provide information, contacts, and general guidelines to help you through the certification process. It will be up to each mentor/mentee pairing to determine the rules of engagement that will best suit your needs and availability.

The information requested on this application has been designed to help us determine a good fit for this partnership. The best mentor/mentee partnerships are formed between professionals that come to know, like, respect and trust one another.

Before we begin to suggest potential partnerships, we need to understand who you are, what your company does, your certification goals, and the best way to communicate with you. Please be sure to complete all required fields below.

Business Owner's Name *

First Name Last Name

Company name: *

Type of company: *

Specific products/services your company provides: *

Company Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

County: *

Phone number: *

Email address: *

example@example.com

Website: *

Online Profiles

Facebook

Twitter

Instagram

Google My Business

Yelp

Other

Is your company *

Virtual Brick and Mortar

Years in business: *

Number of employees: *

The majority owner is (check all that apply) *

Woman Minority Veteran Disabled

Do you pay yourself a salary through your company? *

Yes No

Tell Us About the Mentee

Will the Mentee be the business owner? *

Yes No

If no, please provide the name, contact info and official role of the proposed mentee:

The following questions are designed to get an understanding of the potential mentee's needs and preferences. Please choose the option that first best.

Temperamentally, I am an *

Introvert Extrovert Ambivert

When making decisions, I am: *

Spontaneous - I trust my gut and like to just go for it Analytical - In need time to see all the facts and weight my options Social - I like to find out what others are thinking/doing By-the-book - I prefer to know how a system/process works and to follow the recommendations/best practices

When receiving advice, I prefer: *

Straightforward communication – just give me the feedback, I don’t want it sugar coated. I’m applying for this program because I want to learn from those who have already accomplished this goal The sandwich approach – I respond better to balanced remarks; if you acknowledge what I’m doing right I’m more receptive to hearing what I need to improve Respectful recommendations – we are all professionals and have our own way of doing things; it’s easier for me to hear feedback from people who can let me absorb their meaning then interpret it in my own way Consistent coaching – I’m not always quick to act, and need to hear things more than once before it sinks in. I work better with someone who is patient with my process but also willing to hold me accountable Social strategist – how well I know and like a person heavily impacts how much I’m willing to listen to them. I’d like to work with someone willing to get to know me on a personal, social level.

The best way to communicate with me is: *

In-person On the phone Via Text Via Email Social Media Other

I can commit # of hours per day/week/month* to actively work with a Mentor.

Certification Goals

I am interested in obtaining my: (check all that apply) *

City of Charlotte Small Business Enterprise Certification (SBE) Mecklenburg County Minority, Women, and Small Business Enterprises (MWSBE) North Carolina Department of Administration Office for Historically Underutilized Businesses (HUB) NC DOT Disadvantaged Business Enterprise (DBE) and Small Business Enterprise (SBE) Certifications NC DOT Minority Business Enterprise/Women Business Enterprise (MBE/WBE) NC DOT Small Professional Services Firm (SPSF) U.S. Small Business Administration (SBA) Women Business Enterprise National Council (WBENC)

I plan to use this certification to grow my business by: *

Which of the following best describes the business/business owner? *

I am completely new to the certification process I have looked into certification before, but have not started the process Ihave begun the certification process, but have not completed it I submitted my application, but was not approved

My goal is to have my certification submission completed by : *

Date

Below is a list of documentation required for certification. Please indicate the level of difficulty you anticipate in providing this information. (0 - I have this information 3 - I can easily gather this information 5 - I don't have this information documented) AND indicate whether you want help creating the document

Capability Statement *

Need help *

Business Plan *

Need help? *

Business Insurance *

Need help? *

Business Agreement *

Need help? *

Final Thoughts

What year did you become involved with the SBC? *

Why did you decide to apply for the SBC Mentor ME program? *

How do you plan to hold yourself accountable for the goals you have set for this Mentorship opportunity? *

What role do you want your mentor to play in your certification process? *

What attributes would you look for in your ideal Mentor? *

What would you consider a successful outcome of your Mentorship experience? *

I understand that I am submitting an application to be a Mentee in a 6-month professional development program, and pledge that I am willing and able to abide by the guidelines established for the Empower ME mentorship opportunity.

Signature

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