2025 YP IMPACT Mentorship Program

2025 Mentor Application

By completing this form, you are expressing your interest in being a mentor for a Young Professional as part of the 2025 IMPACT Mentorship Program. Thank you for your commitment to the future leaders of our Chamber and community.
First & Last Name*

First NameLast Name
Company/Organization Name*
Position/Title*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
LinkedIn URL (Optional)
example@example.com
How many mentees would you be willing to mentor this program year?*

1234Other
What is you background? Use this section to briefly describe your personal, professional, leadership, and philanthropy background.*
Areas of Expertise, check all that apply.*

Accounting/FinanceArts, Entertainment & MusicBusiness Management/Small Business FormationCommunity Involvement/PhilanthropyGovernment Affairs/Public PolicyHuman Resources/Talent AcquisitionsLeadershipPublic Relations/MarketingSalesTechnologyOther
Industry Experience, select all industries you have experience in.*

BankingEducationEngineeringFinancialGeneral BusinessGovernmentHealth & WellnessHospitalityInsuranceLegalManufacturingMusic, Arts & EntertainmentNonprofitProfessional ServicesRetailSales & MarketingTechnologyOther
What methods of contact do you prefer?*

EmailPhone CallText MessageVideo Call
Do you agree to abide by the requirements outlined by the YP Mentor Program and commit at the minimum of one with my mentor per quarter and the mix and mingle event in November?*

YesNo
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2025 Mentor Application