2024 WIN Mentee Application
Personal Information
Applicant Name
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First Name
Last Name
Business or Organization Name
Job Title
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tell Us About Yourself
Briefly describe your professional and educational background. Please include your current role and responsibilities. Additionally, please list any volunteer roles or boards you currently serve on.
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Please share some of your hobbies/interests.
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Why are you interested in participating in WIN?
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Mentee Goals & Expectations
Have you previously participated in a mentorship program where you were the mentee? If yes, please provide details.
What areas are you looking to be mentored in? (Select all that apply)
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Leadership Development
Career Advancement & Goal Setting
Networking & Relationship Building
Time Management & Organization
Communication Skills (Verbal & Written)
Wellness & Stress Management
Entrepreneurship & Business Development
Personal Branding, Marketing & Sales
Industry-Specific Knowledge & Insight
Community Engagement & Service
Conflict Resolution & Problem-Solving
Technology Trends & Digital Skills
Financial Literacy & Planning
Work-Life Balance
Innovation & Creative Thinking
Diversity, Equity & Inclusion Awareness
Other
Do you have any specific short or long-term career goals you are working towards? If so, please share your goals and how you envision your mentor supporting you as you work toward achieving these goals.
Are there any learning resources or tools you currently utilize or find particularly helpful? (Select all that apply)
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Professional Development Books
Online Courses
Podcasts
Other
None
Not currently, but I would like to get connected to some
Please check the boxes below to acknowledge that you understand the WIN program requirements & expectations (if selected to participate).
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If selected for WIN, I understand that I am financially responsible for the program fee ($99/mentors; $59/mentees)
I will attend quarterly WIN meetings
I will have 1:1 meetings with my mentor/mentee 6-8 times throughout the year
I will attend the Chamber's Women in Business Luncheon (2025)
Chamber & Community Involvement
How have you been involved with the Murray-Calloway County Chamber of Commerce? (Membership, program participation, events attended, committees joined, etc.)
Additional Information
Is there any other information you would like to share about yourself, your interests, or your career aspirations that may be relevant to the WIN program?
Personal Reference
Please share the contact information of one personal reference NOT associated with your business or organization.
Personal Reference Name
*
First Name
Last Name
Personal Reference Email
*
example@example.com
Personal Reference Phone Number
*
Please enter a valid phone number.
Relation to Applicant
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Headshot & Bio
If selected to participate in WIN, we will use your headshot and bio in various program materials.
Please upload your professional headshot or a high resolution photo of yourself.
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Please provide a short bio to be used in program material (500 words or less).
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Other
Please select your t-shirt size (adult unisex shirts)
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Small
2XL
Medium
3XL
Large
Other
XL
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