SSPI Mentor Intake Form
Please complete this form to express your interest in becoming an SSPI mentor and help us match you with suitable opportunities.
First Name, Last Name
*
First Name
Last Name
Current Role / Title
Company / Organization
Email
*
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
City
*
State / Province
Country
*
Please Select
United States
Canada
United Kingdom
Australia
Other
Years in the space and satellite industry
*
Please Select
1 – 5
5 – 10
10 – 15
15+
Are you still in the industry?
*
Please Select
Yes
Currently working in another industry
Retired
Please post relevant experience here
Choose which areas you feel most able to support others (select all that apply)
Technical / engineering
Policy / regulatory
Business / commercial
Entrepreneurship / startups
Operations / program management
Leadership / management
Career navigation
Other
What types of mentorship are you interested in offering? Choose all that apply
1:1 conversations
Student competitions/projects
Small group discussions
Office-hours style sessions
One-time conversations
Short-term engagements (1–3 conversations)
Longer-term engagements (several months)
SSPI plans to host virtual mentorship development conversations over time. Would you be interested in participating?
Please Select
Yes
No
Not sure
As we think about the future evolution of the program, what would you find most valuable? (select all that apply)
Private peer-to-peer consultations
Workshops and webinars
Ethics and Boundaries Sessions
Structured Case Clinics
Mentor Practice Roundtable
Other
By submitting this form, I confirm the following:
I have read and understand that SSPI makes mentors available through partner programs and consent to have my mentorship profile shared with SSPI partners exclusively for this purpose.
*
Please Select
Yes
No
I have read and understand that SSPI does not manage mentees nor mentoring relationships, rather, mentees are provided by our partners and the rules of the engagement are set by them.
*
Please Select
Yes
No
I agree to maintain professional boundaries within every mentoring relationship I engage.
*
Please Select
Yes
No
Submit
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