| Mentee Application |
| *indicates required fields |
| Section I - Profile Information |
| *First Name: |
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| *Last Name: |
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| *Expected Graduation Date: |
(i.e. Mo/Year) |
| *E-mail Address: |
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| *Address: |
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| *Phone Number: |
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| Gender |
Male Female |
| Section II: Matching Information |
| *Company Name and Location (Please leave blank if not currently employed): |
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| *Current Title/Position: |
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| *Years of Human Resources Experience: |
(i.e. 3 years of experience) |
*Do you prefer your mentor to be: |
Male
Female
No Preference |
Area of Interest:
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Describe your goals for the mentoring partnership. What do you hope to accomplish? Be specific as possible.
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| *I am willing to make the necessary travel arrangements to occasionally meet up with my assigned mentor for face-to-face sessions? |
YES
NO
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| Part III - Program Commitment |
| *I am available to attend the mandatory Orientation Kick-Off scheduled for
Friday, October 19th from 4:30 – 7 pm
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YES
NO
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| *I have availability in my schedule (two to four hours a month for six months) to invest in the mentoring relationship |
YES
NO
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| *I understand as a mentee I am responsible for driving the relationship with my assigned mentor on a consistent basis to foster a mutual beneficial mentoring experience. |
YES
NO
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