YNG Palm Beach Mentorship Program — Mentor Application Form
Share a bit about your background, how you’d like to help, and your working style to be matched as a mentor.
About You
First Name
*
Last Name
*
Email
*
example@example.com
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which YPO chapter(s) are you a member of?
*
Palm Beach Gold
Miami/FTL Gold
Palm Beach
Miami
Fort Lauderdale
SunFlo Gold
Mosaic
Other
Do you own or run a business?
Yes
No
What's the name of your company?
What's your current role, and where do you work? (Or your most recent role, if retired.)
What industry are you currently in? (Or most recently, if retired.)
What time of year are you typically in the Palm Beach area?
*
Full-time
Seasonally
Only for Planned Visits
Back
Next
How You'd Like to Help
Which of these guidance areas are you comfortable advising on? (select up to 2)
*
Career navigation & growth
Family business navigation
Building or scaling my own business
Leadership & people management
Personal growth & direction
Have you mentored someone before?
Yes
No
Which industries are you comfortable mentoring in? (select up to 8)
*
Real Estate
Law
Banking
Investment Management
Private Equity / Venture Capital
Family Office / Wealth Management
Corporate Finance & Accounting
Technology / AI / SaaS
Medicine & Healthcare
Wellness & Fitness
Consumer & Retail
Music, TV, & Entertainment
Marketing / Advertising / PR
Sales & Business Development
Human Resources & Recruiting
Manufacturing & Industrial
Hospitality & Restaurants
Construction & Development
Professional Services & Consulting
Sports & Sports Business
Energy & Natural Resources
Transportation & Logistics
Aviation & Marine Industry
Insurance
Education
Nonprofit & Philanthropy
Agriculture
Fashion & Beauty
Import & Exporting
Government & Public Service
Press & Journalism
Other
How would you describe yourself as a mentor?
*
Expert — could train other mentors
Strong mentor
Comfortable mentoring, still building experience
Need some training but excited to mentor
Which specific topics would you want to bring real experience to? (select up to 6)
*
Career change
Interviewing for a new role
Advocating for yourself (pay, promotion, recognition)
Negotiation
Navigating a workplace conflict or HR issue
Succession & leadership transition
Establishing credibility within the family business
Hiring and building your team
Raising capital or funding a business
Leading and managing people
Taking smart risks
Public speaking
Work-life balance
Navigating family dynamics in a shared business
Other
Tell us a little about your experience with mentorship over the years.
Back
Next
Mentor Experience
How would you prefer working with a mentee?
*
Structured — a set schedule, a clear agenda each time
Flexible — casual, as-needed check-ins
In conversation, do you lean more...
*
Direct — get straight to the advice
1
2
3
4
Warm — supportive, relationship-first
5
1 is Direct — get straight to the advice, 5 is Warm — supportive, relationship-first
Do you prefer meeting in person, or are you open to virtual?
*
In person only
Virtual only
Open to hybrid
No preference
Back
Next
Outside of Work
Activities & Hobbies
Golf
Tennis/Pickleball/Paddleball
Fishing
Hiking & Outdoors
Biking
Running & Endurance Sports
Team Sports & Rec Leagues
Boating & Water Sports
Skiing & Snow Sports
Gym & Workout Classes
Yoga & Meditation
Gaming
Cars & Motorsports
Aviation & Flying
Traveling
Nightlife/Going Out
Food & Dining
Cooking & Baking
Wine & Cocktails
Music & Concerts
Singing/Playing an Instrument
Painting & Drawing
Photography
Fashion & Shopping
TV Shows & Movies
Podcasts & Audiobooks
Reading
Animals & Pets
Volunteering
Watching Sports
Other
Want to get more specific? Feel free to narrow in.
Fluent in another language?
Yes
No
Which one(s)?
Back
Next
Mentor Experience
How did you hear about the mentorship initiative?
Referred by a YPOer
Referred by a YNGer / YNG Palm Beach member
Direct email/communication from YNG Palm Beach
WhatsApp group
Social media post
Shared through my own chapter
Direct outreach from the YNG PB Mentorship Program Team
Other
Back
Next
Before You Submit
What's shared between mentor and mentee stays confidential — I agree to keep it that way.
*
I agree
I'll show up, follow through, and treat my mentor or mentee with respect.
*
I agree
I'm okay with my information being hosted on YNG/YPO platforms and used to help make a good match. My information won't be sold.
*
I agree
Submit
Should be Empty: