Women in Leadership: Mentor Application
Please ensure that you have reviewed the program details, instructions and expectations prior to submitting this application.
First Name
*
Last Name
*
Title
*
Company
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Number of Years in Current Position
*
Do you have an Assistant?
*
Yes
No
Assistant Name
*
First Name
Last Name
Assistant Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Assistant Email
*
example@example.com
In-person kick-off meeting, please select availability:
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October 17+18: Portland, Oregon
November 7+8: Scottsdale, Arizona
Either of the above work for me
This program is open to WEI members, including limited spots available to service company employees. Please share your preference on who you would like to be paired with:
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Energy Company Only
Service Company Only
Either of the above
Applicant Demographics
In order to ensure the diversity of the mentor + mentee relationship, please provide the following information.
Race / Ethnicity
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American Indian / Alaskan Native / Indigenous
Black / African American
Pacific Islander / Native Hawaiian
Asian
Hispanic / Latino / Latinx
White / Caucasian
Prefer not to answer
Other
Industry:
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Gas
Electric
Dual (Gas & Electric)
Other
Industry Segment
*
Transmission
Distribution
Generation
Other
Functional Area
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Electric Operations
Gas Operations
Customer Service
Corporate (IT, HR, Shared Services)
Other
Number of Years in Industry:
*
Business Ownership:
*
Investor Owned
Public
Other
Candidate Questions
Responses will be shared with your mentee, along with your resume or bio.
Please select 5
different
strengths and skills that you can share with your mentee:
1:
*
Please Select
Managing Conflict
Change Management
Work Life Balance
Increasing Workforce Diversity
Reputation + Credibility
Networking + Relationship Management
Improving Team Dynamics
Strategic Decision Making
Negotiation Skills + Being More Assertive
Innovation + Creativity
Industry Knowledge
2:
*
Please Select
Managing Conflict
Change Management
Work Life Balance
Increasing Workforce Diversity
Reputation + Credibility
Networking + Relationship Management
Improving Team Dynamics
Strategic Decision Making
Negotiation Skills + Being More Assertive
Innovation + Creativity
Industry Knowledge
3:
*
Please Select
Managing Conflict
Change Management
Work Life Balance
Increasing Workforce Diversity
Reputation + Credibility
Networking + Relationship Management
Improving Team Dynamics
Strategic Decision Making
Negotiation Skills + Being More Assertive
Innovation + Creativity
Industry Knowledge
4:
*
Please Select
Managing Conflict
Change Management
Work Life Balance
Increasing Workforce Diversity
Reputation + Credibility
Networking + Relationship Management
Improving Team Dynamics
Strategic Decision Making
Negotiation Skills + Being More Assertive
Innovation + Creativity
Industry Knowledge
5:
*
Please Select
Managing Conflict
Change Management
Work Life Balance
Increasing Workforce Diversity
Reputation + Credibility
Networking + Relationship Management
Improving Team Dynamics
Strategic Decision Making
Negotiation Skills + Being More Assertive
Innovation + Creativity
Industry Knowledge
Other (if not listed):
Can you commit to attending both the in-person sessions and all virtual calls/meetings?
*
Yes
No
Please upload your resume or biography (10MB limit):
*
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Why do you want to participate in this program and what do you hope to get out of it?
*
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*
Date
*
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Month
-
Day
Year
Date
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