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Mentee Application
Mentee Application
Innovation
2022-09-03T16:30:24-04:00
Mentee Application
Name
First
Last
Email
LinkedIn URL
Job Title
Company
How long have you been in your current role?
Please check the box that most closely represents you.
College Student
Young Professional (1-5 yrs of experience)
Business Professional (6-15 yrs of experience)
Seasoned Professional (16+ yrs of experience)
Describe your job responsibilities in a few bullet points.
What career aspirations do you have for the next 3-5 years?
What do you think are your 2-3 strongest professional strengths?
List 2-3 adjectives to describe yourself.
List any personality assessment results (CliftonStrengths, 16Personalities, etc) you’d like to share.
To help us make a strong connection between Mentors and Mentees, please share a few of your top personal passions/hobbies.
As a Mentee, what role do you want your Mentor to serve? (Select all that apply)
Colleague (Acts as a peer while offering a different perspective)
Nurturer (Seeks to grow existing skills)
Listener (Uses active listening techniques to help Mentee arrive at conclusion)
Teacher (Helps Mentee learn new skills; seeks to improve existing skills)
Motivator (Seeks to inspire and encourage Mentee to reach goals)
Career Development (Helps Mentee outline career path and goals)
Life Coach (Aids in personal and professional goal setting/overcoming obstacles)
Select All
In what area do you feel a Mentor could provide the most insight/value?
Leadership Development
Work/Life Balance
Listening/Support - Have someone there to bounce ideas off of to help you arrive at a conclusion
Overcoming Barriers (race, gender, ethnicity or other demographics)
Overcoming Barriers (breaking into new disciplines, verticals, industries)
Skill Development
Select All
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