TO CONNECT


TO DEVELOP


TO EMPOWER


Our mission, adopted in 2007,
...To connect, develop and empower Young Professionals to lead our Community.


Mentee Application






Full Name:
Title/Occupation:
Company Name:
Industry:
Telephone:
Email:
Preferred method of contact:
Why do you want to be a mentee?
Please share a brief personal summary:
What you are looking to gain from this experience?
Please list up to three days and times during the work week you would be available to meet with your mentor group:
1.
2.
3.
Please indicate which of the following topics you are interested in learning more about:
Other:
Are you looking for a mentoring group comprised of individuals with shared characteristics (i.e. gender, career tenure, career field)? If yes, please specify:
Please acknowledge the mentoring requirements below:
I understand that applying to this mentorship program does not necessarily guarantee participation
I am able to commit to monthly mentoring meetings, as determined by the group mentor
I understand that it is my responsibility to notify the group mentor, in advance, if I am unable to attend a meeting and acknowledge that repeated absences may result in my removal from the program
I understand that my mentor has volunteered for this program
By submitting this application and signing below, you are willing, accepting, and excited to follow all of the above requirements.