ACM Mentor Network Application
ACM Mentor Network is a way for members to mentor or be mentored within our community. Members who apply will be matched with professionals around the country to share expertise, discuss goals or challenges, or seek industry advice in a confidential setting. The application review and matching is managed by ACM staff member Shelby Couch and is a confidential process. You may reach Shelby with any questions at shelby@allcommunitymedia.org.
Name
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First Name
Last Name
Organization
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Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
How would you like to participate in the ACM Mentor Network? (please select both options if you would like to be both a mentor and mentee).
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I am seeking a mentor
I would like to mentor someone
Describe where you are in your career and any challenges or opportunities you are experiencing.
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This is an open-ended question for both mentors and mentees. The more you share about yourself, the better we will be able to match you.
Describe your strengths, areas of expertise, specialized knowledge, or relevant experiences to help us match you.
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This is an open-ended question for both mentors and mentees. The more you share about yourself, the better we will be able to match you.
Describe any gaps or growth areas in your knowledge or experiences that will help us match you.
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This is an open-ended question for both mentors and mentees. The more you share about yourself, the better we will be able to match you.
Please share the top reason you are applying for the Mentor Network
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Please share any other characteristics, requests, or ideas that you would like noted as we seek a match for you.
I acknowledge that personal information and discussions shared between mentors and mentees is confidential and I commit to the spirit of this program as a safe space for personal and professional development.
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Submit
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