Protégé Application Assessment
In order for us to better fit you with the appropriate Mentor, please provide the following information:
Name
First Name
Last Name
Email
example@example.com
Have you ever been in a Protégé/Mentor relationship/program?
No
Yes, but it was an informal relationship.
Yes, but it was in a formal program.
If you selected "formal program" above, please provide more details.
If you have been in a Protégé/Mentor relationship/program in the past, what did you find valuable? What wasn’t valuable about the relationship/program?
What are your career objectives?
What is your area of expertise/field of employment? Please list all experience or job description.
What do you plan to achieve as a result of this program? Please include professional, academic, personal, leadership, extracurricular, and any other goals you plan to accomplish via this program.
Do you want to be matched with someone in your area of expertise?
Yes, I would like to be matched with a Mentor from my field of security.
No, I would like to be matched with someone from a different field of security.
Would you like to be assigned to a mentor specifically for certification purposes?
Yes
No
If you answered yes to the question above, which certification?
What do you see as the purpose of your mentored experience? Select your three most important mentoring needs at this time.
On-going career development
Used to solve a long-term project
Skill improvement
Company/Industry cultural comprehension
Educational foundation expansion
Broader quality performance
Enhance/Increase professional visibility
Practice strategies
Networking
Area specialty development and practice
Guidance on job searches
Resume critiques
Mock interviews
Informational interviews
Project collaboration and/or critique
Other
What mechanisms of communication do you have available to you to interact with your Protégé? Supply information on those you wish to use.
Business Phone
Cell Phone
Business e-mail
Personal e-mail
Go-to-meeting capabilities
Live chat
Video conferencing
Face-to-face meetings
Other
What type of feedback do you expect from your Mentor?
Do you want your manager to participate in the program with you?
Yes, I would like feedback to my manager from my Mentor on my progress.
No, I do not want my manager to participate in the program with me. I will share my progress as I feel necessary.
How long do you feel participation in this program will take to achieve your stated goal?
6 months or less—i.e., specific project
1 year or less—i.e., general plan
Longer than 1 year—continuing enhancement
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