Mentorship.CLUB Mentee Application

1
Mentee Rules* This field is required.Please fully read the Mentee Rules and click the box to indicate your acknowledgment. You MUST scroll to the bottom and read the Mentee Rules before being able to check the box.
2
Please provide you general contact information below* This field is required.
Full Name
Phone Number
Email
LinkedIn
City
Select your state
Select your state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
3
Choose three of the following words which best describe yourself.* This field is required.Give this serious thought and choose carefully.
Compassionate
High Integrity
Giving
Ambitious
Driven
Helpful
Humility
Generous
Caring
Candid
Ethical
Determined
Hardworking
Moral
Thoughtful
Honest
Honorable
Empathetic
Trustworthy
Diligent
4
Give an example of the last time you helped someone in need.* This field is required.
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Give an example of a time your integrity was tested. What happened and how did you respond? * This field is required.
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What are your three highest accomplishments and why?* This field is required.
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Who would be your ideal Mentor and why?* This field is required.
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What are your top three reasons, in order of importance to you, for applying to Mentorship.CLUB?* This field is required.
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Why do you think you would be an outstanding member who would represent Mentorship.CLUB well?* This field is required.
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Choose three of the following words which best describe the perfect Mentee candidate.* This field is required.Give this serious thought and choose carefully.
Ethical
Diligent
Compassionate
Candid
Honest
Hardworking
Caring
Honorable
Determined
Generous
Moral
High Integrity
Driven
Humility
Empathetic
Thoughtful
Giving
Helpful
Ambitious
Trustworthy
11
What do you want to get out of this program?
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What are your obstacles that you face today?
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List your first personal or professional reference. Include name, phone number and the details of your relationship.* This field is required.
14
List your second personal or professional references. Include name, phone number and the details of your relationship.* This field is required.
15
List your third personal or professional references. Include name, phone number and the details of your relationship.* This field is required.
16
We encourage you to refer someone to become a mentee. You may refer as many individuals as you desire.
17
In the next step, you will choose the Best Membership package for you.

Once you select your desired membership package, you will provide your credit card information for processing. Upon application approval, you will receive an invitation email providing you instructions to log in. If we do not accept your application for any reason, we will notify you via email, and your reimbursement will be processed within 7-10 days.

Please review your Membership options below.

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18
Choose your membership level* This field is required.Please use the arrows to select your membership level and provide your credit card information.
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Platinum Membership (Monthly)
$139.00 for each month
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Gold Membership (Monthly)
$69.00 for each month
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40% Off Platinum Membership (Annual)
$1,499.00 for each year
SUBSCRIBE
40% Off Gold Membership (Annual)
$749.00 for each year
SUBSCRIBE
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Please review your Membership options below.

Get 40% off your Membership fee! ENTER YOUR SPECIAL DISCOUNT CODE ON THE NEXT PAGE

Get 40% off your Membership fee!
ENTER YOUR SPECIAL DISCOUNT CODE ON THE NEXT PAGE