Mentor Matching Questionnaire 2025
The deadline for completion of this form is May 9, 2025. This questionnaire helps staff match Fellows to mentors who can support your specified areas of interest and growth. Potential mentors are typically selected from among the Member Network, and other partners and supporters. Please provide as much information as possible below to help us with your mentor match and ensure you have the best experience possible! * Indicates required question.
Name
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First Name
Last Name
Describe 1-2 objectives you hope to get out of this mentoring relationship. (ie. support for civic or public service opportunities; advice about professional advancement, etc.):
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Is there a specific sector (public, private, non-profit) and/or industry from which you are hoping your mentor brings professional expertise and experience?
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What do you personally hope to gain or learn from working with a mentor? (ie. increased confidence; expanded professional network, etc.)
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What would you say makes you a good mentee? Why do you want a mentor?
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Mentors are generally Disability Lead Members, but may be other individuals as well. While we cannot guarantee any matches, if you have a preference for a specific Member or individual, include that person’s name here. List 1-2 reasons why you feel this would be a good match for you.
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Is there anything else you want us to know?
Submit
Should be Empty: