Mentorship Eligibility Form
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Vision and Goals: What is your long-term vision for your career or business? What specific goals do you want to achieve in the next year?
This should be no longer than 3 sentences
Learning Mindset: Can you share an experience where you faced a setback? How did you respond, and what did you learn from it?
Experience, response and what was learned should be no longer than 6 sentences.
Action Orientation: Describe a time when you took initiative to solve a problem. What steps did you take, and what was the outcome?
Define the Problem in one sentence. The rest is free form.
Financial Accountability: How do you currently manage your finances, both personally and in any business ventures? Are there areas where you feel you could improve?
Commitment to Growth: What are you currently doing to develop your skills and knowledge? Are you actively seeking out resources, courses, or mentorship?
Willingness to Invest: How do you feel about investing time and resources (financial or otherwise) into your personal and professional development? What does that look like for you?
Feedback Reception: How do you typically respond to constructive criticism? Can you give an example of how feedback has helped you grow?
Community and Collaboration: A competitor in business or a person who is up for the same promotion as you sees what you are doing and asks for help to do things more like you. How do you respond and why?
Expectations of Mentorship: What are you hoping to gain from this mentorship relationship? How do you see it benefiting your journey?
Submit
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