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» Mentee application
Mentee application
If you are interested in being a mentee, please complete this application.
First name
*
Your first name, e.g., Willow.
Last name
*
Your last name, e.g., Rosenberg.
Company
Company you work for.
Job Title
*
Company Address
Email
*
Your email address.
Phone Number
*
Mobile Phone Number
What program year are you applying for?
*
- Select -
2017
2018
2019
2020
eg: 2017
Which program are you applying for?
*
Elevate Emerging Leaders
Elevate Executive Leaders
Why do you want to be a mentee?
*
When would you prefer to meet with your mentor?
*
Morning
Mid-Day
Evenings
Weekends
How would you prefer to meet with your mentor?
*
In person
Phone
Online (e.g., Skype)
Briefly describe your current position
*
What are your career goals?
*
List 3 goals you want to achieve in the mentoring program
*
1. 2. 3.
Select your professional strengths
*
Leadership
Succession Planning
Change Management
Human Resources
International Business
Managing Relationships
Strategic Planning
Other
If "Other", please explain
Select the top 3 areas where you are seeking improvement:
*
Emerging Technologies
Globalization
People/Management Skills
Strategic Planning
Business Transformation/Change Management
Career Coaching
Navigating the Political landscape
Community Involvement
Other:
If "Other" please explain:
Identify your technical expertise
*
Networks
Systems
Applications
Database Administration
Web Design
Cloud Computing
Technical Support
Other
If "Other", please explain
List your professional and/or personal accomplishments in the past year
*
List your current professional projects
*
Would you like to be contacted about our scholarship process?
*
Yes
No