Mentor Application

Mentor Application
The Professional Mentorship Network connects neurodivergent young adults with mentors working in related fields. Mentors in this program are professionals across a range of industries who identify as neurodivergent. They offer insight, support, and perspective. They also understand what it means to navigate professional spaces while managing things that don’t get listed in a job description, but shape how we show up at work.

Mentors and participants meet one-on-one to explore topics such as exercising autonomy around disclosure, building sustainable work routines, advocating in new environments, and understanding how neurodivergence affects strengths, stressors, and needs at work.

We’ll use this information to thoughtfully match mentors and mentees who are aligned in both industry and values. Once matched, you’ll receive an introduction and guidance on how to get started.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Zip Code*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender Identity*

WomanManNon-binaryPrefer not to sayPrefer to self describe
What is your current industry or field of expertise?*
Why are you interested in becoming a mentor?*
How did your neurodivergence shape your professional path?*
Resume*

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LinkedIn Profile Link or Personal Website*
Is there anything else you’d like us to know to help us match the right mentee with you?
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