2026 Bespoke Mentorship Program Round Six Application
Name
First Name
Last Name
Email
example@example.com
Are you a member of AMPIA? Please be aware, only AMPIA members will be considered for the program. Non-members can sign up at ampia.org.
Yes
No
Do you identify as IBPOC?
Yes
No
Would Rather Not Say
Please provide a brief biography, resume or company profile highlighting key achievements and experiences or upload a file.
0/200
File Upload - Biography, Resume or Company Profile (Optional)
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Please specify the skills you aim to develop through this program and how it will benefit your professional goals long term.
0/200
Please provide a brief description of the project you're working on.
0/150
Please provide a detailed timeline specifying measurable goals and deliverables.
0/250
Please provide a list of 2-3 producers you'd like to work with as part of the program and why. The producers listed should have experience relevant to your project.
0/200
What about you and your skillset is unique? What are your strengths going into this program?
0/200
File Upload - Additional Files (Optional)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
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