Mentorship Program: Mentee Application
Please fill out this application to be considered as a mentee.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Organization
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About You
What are you hoping to receive from the mentorship program?
Gain Leadership Skills
Gain Industry Knowledge
Learn How To Climb My Career Ladder
Gain a Network of Other Women I Can Learn From
Other
What are your 5 core values in life?
What are your key motivators in life and your career?
Tell us about your most important life moment?
What is your favorite book/podcast and why?
What has been your career path over the last 5 years?
What skillsets are you looking to improve upon?
Leadership
Communication
Industry Knowledge
Networking
Management
Other
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About The Program
Please answer the questions below to ensure we match you with the best mentor.
What skillsets are you looking to improve upon?
Improve my leadership skills
Create a network of other women in the industry
Learn how to advance my career
Other
Which areas do you feel you need the most guidance in?
Overall life
Career
Specific field training
Learning to lead others
Understanding management styles
Communication
Personal development
Other
What are 3 things you would want to specifically learn from your mentor and why? (leadership, communication, etc.)
Which of the following best describes your ideal mentor?
Knowledgeable about the entire industry
Understands work/life balance issues
An entrepreneur
Other
Do you prefer a specific career level or work experience/job function for your mentor? If yes, please specify.
Are you able to commit to 1 call per month for 12 months?
Yes
No
Is there anything else you would like us to consider when making the decision to include you in the mentorship program?
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