You can always press Enter⏎ to continue
register
Mentor Registration
Please fill out and submit this form and we will get back with you.
9
Questions
START
1
Name
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
example@example.com
Previous
Next
Submit
Press
Enter
3
Will you be attending the ICT4D conference in Kampala?
Yes
No
Yes
No
Previous
Next
Submit
Press
Enter
4
Are you able to meet for at least 1 hour a month for the first six months?
YES
NO
Previous
Next
Submit
Press
Enter
5
What country are you from?
Previous
Next
Submit
Press
Enter
6
What city are you from?
Previous
Next
Submit
Press
Enter
7
Please select your seven strongest competencies.
There are 40 please read through all of them before selecting. We will do our best to match you with a mentee who most closely seeks your desired competencies.
Building a team
Building Partnerships
Business Acumen
Change Management & Leadership
Creating Opportunities, Entrepreneurship
Cultural Communication, Valuing Diversity
Customer Focus/Customer Relationship Management
Decision Making
Delegation, Empowerment
Diplomacy
Distance Collaboration
Execution/Implementation
Financial Understanding
Global Understanding
Industry Knowledge
Influencing
Innovation
Leadership
Marketing Knowledge
Navigating the Corporate Culture
Negotiation
Networking
Persuasiveness
Planning
Process Design and Management
Product or Program Management
Public Speaking
Reading the Environment
Risk Management
Risk Taking
Selling
Strategic Relationships
Strategy & Planning
Stress Tolerance
Teaching, Coaching
Tenacity, Persistence
Time Management
Vendor Management
Work-Life Balance
Written Communications/Presentation Development
Other
Previous
Next
Submit
Press
Enter
8
What type of organizational entities have your worked for?
Select all that apply. We will use this information to help match you with a mentee.
Non Profit
Foundation
Social Enterprise
Start Ups/Entrepreneurship
Business
Previous
Next
Submit
Press
Enter
9
Are you able to meet for at least 1 hour a month for the first six months?
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
9
See All
Go Back
Submit