CSA Social Impact Fellowship — Mentor Application
Please fill out the following application to become a mentor in the CSA Social Impact Fellowship program.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
LinkedIn Profile
Location (City, State)
*
Current Job Title
*
Current Employer or Organization
*
Industry or Sector
*
Please Select
Social Impact / Nonprofit
Government / Public Sector
Corporate / Private Sector
Academia / Education
Philanthropy / Grantmaking
Entrepreneurship / Startups
Technology
Health / Public Health
Other
Years of Professional Experience
*
Please Select
1–3 years
4–6 years
7–10 years
10+ years
Are you able to commit to monthly sessions with a group of interns to provide career advice and coaching?
*
Yes
No
Which areas are you most interested in mentoring students on?
*
Finance
Marketing
Fundraising
Programming
Human Resources
Other
Preferred Time of Day for Meetings
*
Weekday mornings
Weekday afternoons
Weekday evenings
Weekends
Why are you interested in mentoring with the CSA Social Impact Fellowship?
*
Is there anything else you’d like us to know about you as a mentor?
*
Upload Your Resume or CV
*
Upload a File
Drag and drop files here
Choose a file
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Signature (Full Name)
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
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