WICT RM Mentee Application

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WICT RM Mentee Application

Name*
First Last
Job Title*
Company*
Work Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Preferred Email*
LinkedIn Profile
Are you currently a WICT RM member?*
- Yes
- No
If not a current WICT RM member, would you like more information about the group?
- Yes
- No
Have you participated in the WICT Mentoring Program in the past (Mentor or Mentee)?*
- Yes
- No
Are you a returning mentee who would like our team to reference your past application to complete the remainder of your application? This is valid for applicants for 2022 and beyond.*
- Yes
- No
Are you looking for a mentor that has expertise that closely relates to your specific circumstances (work environment, personal preference, etc) or comfortable with a leader offering unique perspectives? Select all that apply.*
- Prefer leader in my organization
- Prefer leader with similar work background
- No preference
- Other
If selecting other, list specific preferences that we can help accommodate to ensure comforts in the program.
What qualities are most important to you in a mentor?*
Please summarize your current job responsibilities (if applicable, please include management level).*
What do you hope to gain from this experience?*
Please provide any additional information that would be relevant/helpful for us to match you with a suitable mentor.*
Please list times most convenient for you to meet with mentors (ex: before work/after work or weekends).*
I understand that I have to pay for the mentorship program ahead of the first session and I understand the cost is not part of the WICT RM membership fee. (Fee for WICT RM members = $350, Fee for non-members = $450).*
✔ If selected, are you committed to be an active mentee in this program by meeting with mentors a minimum of once a month and attending ALL MANDATORY ENRICHMENT SESSIONS (3/27, 6/26, 9/25, 11/20). We are excited to reintroduce hybrid options with in-person opportunities for the kick off and capstone celebrations at minimum. Each session will be a maximum of 2 hours.*

CONTACT US

The WICT Network: Rocky Mountain
PO Box 101870
Denver, CO 80250

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