Mentorship Program Application
Thank you for your interest in the PWC NJ Mentorship Program! Please complete this application as thoroughly as possible. The information you provide will be used to aid in our mentorship pairing process.
Are you new or returning to the mentorship program?
I am new to the mentorship program
I am returning to the mentorship program
Contact Information
Full Name
*
Address / City / State
Best way to contact me (check one):
*
Call
Text
Email
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Best days/times to contact me:
*
Pairing Questionnaire
The Mentorship Committee does our best to match pairs according to their preferences, but we cannot guarantee that you will get your choice.
What topics are you interested in discussing / exploring with your mentorship pair?
*
Organization
Title
Degrees / Certifications / Licenses
Please list any degrees, certifications, or licenses that you hold.
Years of Experience (Overall)
*
Years of Experience in Construction
*
Desired location to meet with your pair:
*
North NJ
Central NJ
South NJ
Preferred Match (check one)
*
I would like a peer to peer mentorship pair
I would prefer to be a mentor to a junior person
I would prefer to be a mentee of a more senior person
I am flexible – any pairing is great
Have you ever participated in a mentorship program?
Does your company have a mentorship program?
Yes
No
Are you a member of PWC NJ? (Membership is NOT required to participate in the Mentorship Program.)
Yes
No
Acknowledgment of Mentorship Commitment
To make the most of this experience, we ask participants to commit to regular monthly meetings with their mentorship pair. Please review and acknowledge your commitment below.
By joining the PWC NJ Mentorship Program, I acknowledge my commitment to actively engage with my mentorship pair and I agree to make my best effort to meet with them on a monthly basis.
*
Yes, I agree
No, I cannot agree
Career Questionnaire
The following questions are OPTIONAL and will be used in your initial intro with your Mentoring Pair.
Describe your experience in the construction industry:
Why are you interested in participating in the Mentorship Program?
Please list any goals, objectives, interests, etc.
Describe the skills and/or knowledge that you possess that may benefit your mentor or mentee:
What are your career goals for the next 5 years?
Are you looking to stay in your current field and career path?
What types of construction-related professionals do you interact with in your current position? (Including other construction individuals or vendors, consultants, etc.)
Do you see yourself as having a job or having a career? Please explain.
What opportunities / challenges do you experience in your current position?
What interests do you have outside of your work activities?
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