The Executive Evolution Mentorships || Mentorship Pairing Questionnaire

Mentorship Pairing Questionnaire

This is the questionnaire to better the pairing process for mentors and mentees.
Current Company
Name

First NameLast Name
Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age

18-2930-49>50
Have you attended a local The Executive Evolution event? ie: women's tech & channel luncheon, networking happy hour, education event, etc..

YesNo
Are you intending to be a mentor or mentee?

MentorMenteeSeeking Both
Short term and/or long term goals of participating in TEEM
Out of the topics below, which is of most interest?
The second?
The third?
Do you participate in other social groups, women's groups, career focus groups, etc..
What are your hobbies outside of work?

Cooking/BakingOutdoor Sports (hiking, kayaking, biking, skiing, hunting, fishing, camping, etc.)Crafts (sewing, knitting, painting, scrapbooking, etc.)TravelTechnology Activities (computer gaming, video games, photography, etc.)
Preference of communications between Mentor/Mentee

TextEmailBoth are fine
How often do you want to be in contact with your mentor/mentee?

Twice a MonthOnce a MonthOnce a QuarterOther
When you think about communicating with your mentor/mentee, how do you envision the relationship?

More casual – we will contact each other when we want to talk, knowing that the other person will be available for me when needed.More structured – we will schedule phone calls, e-mails, or personal meetings to ensure we keep up with one another.
Should be Empty: