2019 Connections Mentor Program – Mentee Application Form
Name
First Name
Last Name
Email
example@example.com
Division
Title
Work Location
How will the Connections Mentor Program benefit you?
Are you prepared to commit to a full year of a mentor/mentee relationship?
As the mentee, are you willing to take charge of scheduling all of your meetings and providing follow-up details about your meetings to your mentor?
Do you have a current development plan? If so, what are your developmental goals for this year?
Are you interested in the one-to-one mentoring relationship?
Yes
No
Women: Are you interested in Women’s Circles? ( 2 co-leaders to 4-6 Mentors)
Yes
No
Please submit your current resume
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