Applicant name*
First Name Last Name
Will this be your first time participating in a mentoring program?*
Yes No
What are your professional interests (for example: accounting, sales, human resources, community, etc.)?
Please rate the extent to which you feel you have career development opportunities at Erickson Living.*
1 2 3 4 5
1 is Poor, 5 is Excellent
Next section: Please choose 4 competencies that you would like to work on during this mentoring period, Rank them in order of importance... #1 is the competency you want to focus on. (Please ask for your managers input on these)
Click here to read more about each of the One Team competencies listed below.
Rank them in order of importance: the top item should be the competency you want to work on most.*
Can you commit to meeting with your mentor for at least one hour, once a month?*
Yes No
What are your most significant career challenges right now, and how do you believe this program will benefit you in working through these challenges and in your overall professional development?
Please provide any other information you believe would be important in review of this application.
Should be Empty: