I authorize the Women in Business Mentoring Program Selection Committee to contact the listed references and my current employer. The Mentoring Program may also release, if necessary, the information contained in this application. I have read and understood the program commitment and am willing to honor that commitment.
I agree to have at least one phone or face-to-face meeting with my protege each month of this program.
I agree that I am responsible for the cost of my ticket to attend the Diversity and Leadership Conference in May.