Mentor Matching Questionnaire 2026
The deadline for completion of this form is May 6, 2026. This questionnaire helps staff match Fellows to mentors who can support your specified areas of interest and growth. Please provide as much information as possible to help us with your mentor match and ensure you have the best experience possible.
Name
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First Name
Last Name
Cohort Chapter
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Please Select
SWPA
Chicago
Describe 1-2 objectives you hope to get out of this mentoring relationship. (ie. support for civic or public service opportunities; advice about professional advancement, etc.):
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Please select up to two areas of personal interest in which you are hoping your mentor has professional expertise or experience in? (Please select up to 2 areas that best match your goal)
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Leadership & Management (team leadership, organizational development, HR)
Advocacy & Policy (disability rights, public policy, systems change)
Community & Social Impact (nonprofits, education, health, community work)
Business & Finance (corporate, entrepreneurship, budgeting, operations)
Communications & Public Engagement (marketing, storytelling, public relations)
Research & Technology (data, evaluation, tech, STEM)
What do you hope to gain from working with a mentor? (Please select up to 3 areas that best match your goal)
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Build confidence in my leadership
Clarify my goals and next steps
Grow my professional network
Strengthen communication and self-advocacy
Navigate workplace or organizational systems
Explore career pathways or transitions
Develop specific leadership skills
Increase impact in my community or civic work
Stay accountable to my goals
Other (please specify)
Other Specified
What would you say makes you a good mentee?
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Mentors are often Disability Lead Members, but may be individuals outside of the Network as well. While we cannot guarantee any matches, if you have a preference for a specific Member or individual, please include that person’s name here. List 1-2 reasons why you feel this would be a good match for you.
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Mentor Identity
To help us make the most meaningful match, we invite you to share any preferences you may have for your mentor. While many of our mentors identify as disabled, there may be times when a mentor brings strong leadership or subject-matter expertise but does not identify as disabled.
How important is it to you that your mentor identifies as a person with a disability, and how open are you to being matched with a mentor who does not?
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Very important; I prefer a mentor who identifies as disabled
Somewhat important; I am open but would prefer a disabled mentor
Not important; I prefer a mentor based on expertise, regardless of disability identity
If having a mentor with a disability is important to you, which feels like a better fit for you?
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I prefer a mentor with a disability similar to my own
I am open to different lived experiences
Is there anything else you want us to consider when matching you with a mentor?
Submit
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