MVCAC Annual Conference Mentorship Program: Year Two Application

MVCAC Annual Conference Mentorship Program: Year Two Application

Complete the section that matches how you’d like to participate and submit your nomination or mentor interest. Applications are due no later than November 10th. If you have questions about the program please contact MVCAC Executive Director Megan MacNee at mmacnee@amgroup.us.
How would you like to participate?
Mentee Nomination (District Managers Only)
Nominator full name

First NameLast Name
Nominator title
District or organization
Nominator email
example@example.com
Nominator phone
Please enter a valid phone number.Format: (000) 000-0000.
I confirm that I am a district manager nominating a member of my staff.
Mentee full name

First NameLast Name
Mentee job title or role
Mentee district or region
Mentee email
example@example.com
Mentee phone
Please enter a valid phone number.Format: (000) 000-0000.
Mentee's preferred way to stay in touch
Approximate years in the mosquito and vector control field
Approximate years involved with MVCAC
Has the mentee attended an MVCAC Annual Conference before?
Will the mentee be attending the upcoming Annual Conference?
Please describe the mentee's current role and professional background.
What are the mentee's career interests and where would you like to see their path go?
Why are you nominating this employee, and how do you believe a mentor would benefit them?
Is there a part of MVCAC, such as a committee or type of involvement, the mentee may want to learn more about?
Is there anything else that would help us make a strong match, such as preferences about mentor region, role, or background?
I have discussed this nomination with the mentee and they are interested in participating.
Mentor Interest
Full name

First NameLast Name
Job title
District or organization
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Years involved with MVCAC
Preferred way to stay in touch
Have you served as an MVCAC mentor or mentee before?
Will you be attending the upcoming Annual Conference?
Is there anything you would like us to consider when matching you, such as a mentee region, role, or area of interest?
I understand the program time commitment: a virtual kickoff call the week of December 7, a brief virtual check-in in January, the Sunday briefing at the conference, at least three shared conference activities with my mentee, a post conference check-in, and a full group debrief.
Should be Empty:

MVCAC Annual Conference Mentorship Program: Year Two Application

Mentee Nomination (District Managers Only)

Mentor Interest