Application for Mentors
Section 1: Basic Information
Name
First Name
Last Name
Email
example@example.com
LinkedIn Profile URL
Current Role & Organization
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Section 2: Experience & Expertise
Years of experience in the industry
5-7 years
8-10 years
10-15 years
15+ years
Primary industries you've worked in
Design
Marketing
Advertising
Media
Public Relations / Communications
Other
Areas where you feel most equipped to mentor (Select up to 3)
Creative Leadership
Strategy
Client Services
Media
Public Relations / Communications
Other
Section 3: Mentorship Style & Fit
How would you describe your mentorship style?
Coach
Sounding Board
Teacher
Challenger
Connector
What are you best at helping early-career professionals with ?
What are you not the right mentor for?
Section 4: Availability & Boundaries
Preferred meeting candence
Monthly
Every other month
What is your preferred meeting format
Virtual
In-person
Hybrid
How many mentees are you comfortable mentoring at one time?
1
2
Section 5: Motivation & Expectations
Why do you want to me a mentor in this program?
What do you personally hope to get out of this mentorship experience?
What makes a mentee a great use of your time?
Do you agree to a minimum 9-month commitment with your mentee?
Yes
No
Is there anything else you'd like us to consider when matching you?
Submit
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