Apply for the 2025 Leadership Mentor Program First Name *Last Name *CompanyJob Title *Company addressEmail Address *Phone Number *Mobile NumberWhy do you want to be a mentee? * Visual Text When would you prefer to meet with your mentor? *MorningMid-DayEveningsWeekendsHow would you prefer to meet with your mentor? *In personPhoneOnline (e.g., Skype)Briefly describe your current position *What are your career goals? *List 3 goals you want to achieve in the mentoring program *Select your professional strengths *LeadershipSuccession PlanningChange ManagementHuman ResourcesInternational BusinessManaging RelationshipsStrategic PlanningOtherIf "Other", please explainSelect the top 3 areas where you are seeking improvement: *Emerging TechnologiesGlobalizationPeople/Management SkillsStrategic PlanningBusiness Transformation/Change ManagementCareer CoachingNavigating the Political landscapeCommunity InvolvementOtherIf "Other", please explainIdentify your technical expertise *NetworksSystemsApplicationsDatabase AdministrationWeb DesignCloud ComputingTechnical SupportOtherIf "Other", please explainList your professional and/or personal accomplishments in the past year *List your current professional projects *Send Message
