Mentor Application
Please fill out this form to apply to become a mentor in our fellowship program. Provide detailed information to help us match you with the best mentee.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
LinkedIn/Website Link
*
Occupation
*
Company
*
Job Title
*
Years of Experience
*
Resume/Portfolio Upload
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Highest Degree
*
Please Select
High School Diploma
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate
University
*
Field of Study
*
Primary Fields of Expertise
*
Software Engineering
Data Science
Marketing
Finance
Education
Healthcare
Other
Specific Skills
*
Project Management
Communication
Leadership
Technical Writing
Data Analysis
Public Speaking
Other
Preferred Student Types
*
High School Students
Middle School Students
Other
Desired Mentee Characteristics
*
Motivated
Proactive
Open-minded
Respectful
Committed
Curious
Other
Preferred Mentorship Focus
*
Career Guidance
Skill Development
Networking
Personal Growth
Academic Support
Entrepreneurship
Other
Hours per Month Available
*
Preferred Time Zone
Please Select
GMT
UTC
ECT
EET
ART
EAT
MET
NET
PLT
IST
BST
VST
CTT
JST
ACT
AET
SST
NST
MIT
HST
AST
PST
PNT
MST
CST
EST
IET
PRT
CNT
AGT
BET
CAT
Preferred Meeting Schedule
*
Weekly
Bi-weekly
Monthly
Flexible
Other
Preferred Communication Methods
*
Email
Phone
Video Call
In-Person
Other
Previous Mentorship Experience
*
Motivation for Joining
*
Plans to Contribute
*
Qualities of an Effective Mentor
*
I agree to the program expectations.
*
I agree
I consent to the use of my information as described.
*
I consent
I consent to participate in the mentorship program.
*
I consent
Submit Application
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