WICT RM Mentor Application -

Mentor Application

Please fill out and submit the form below to apply for to be a Mentor as part of our WICT RM Mentor program. Any questions please reach out to Stephanie Klemp and/or Becky Woods at mailto:wict.rm.mentoring@gmail.com.

Name*
First Last
Job Title*
Company*
Work Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Email*
Personal Email*
How did you hear about the WICT Mentoring Program? (i.e. former mentor/mentees, colleagues, etc.)*
Please summarize your work experience (not to exceed 200 words or 2 paragraphs).*
Our focus in the WICT Mentoring Program is "Creating a Brand". Have you considered what your brand is and how do you represent this?*
Why are you interested in becoming a mentor for WICT?*
What is your experience as either a mentor or mentee?*
If you have had previous experience as a mentor, where do you feel your strengths are in relation to a mentee? (i.e. new industry entrants, someone in the same functional area, individuals in the same company, individuals with high potential or specific goals, etc.)*
What do you think it takes to be a good mentor? Why would you make a good one?*
What is your leadership philosophy?*
What are your core values?*
What are your strengths?*
Please list locations and times most convenient for you to meet with mentees (i.e. before work/after work or weekends, locations such as downtown, DTC, North, etc.)*
If selected, are you committed to being an active Mentor in this program by meeting with mentees a minimum of once a month and attending ALL FOUR MANDATORY SESSIONS (August 12, September 9, October 21, and November 11)*