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Mentee Application Form

This document is a mentee application form for a mentoring program. It requests the applicant's contact information and asks them to commit to spending one hour per month with their mentor from January to December 2010. It also asks the applicant to describe what they hope to gain from the program, current job challenges, and their ideal mentor characteristics. The applicant must select their top four areas of interest for mentor guidance from lists of business types, specialties, and skills. Incomplete applications cannot be processed and all participants must be current members of the organization.

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1K views1 page

Mentee Application Form

This document is a mentee application form for a mentoring program. It requests the applicant's contact information and asks them to commit to spending one hour per month with their mentor from January to December 2010. It also asks the applicant to describe what they hope to gain from the program, current job challenges, and their ideal mentor characteristics. The applicant must select their top four areas of interest for mentor guidance from lists of business types, specialties, and skills. Incomplete applications cannot be processed and all participants must be current members of the organization.

Uploaded by

api-15736536
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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MENTEE APPLICATION FORM

Name: Job Title/Company:

Phone: E-mail:

Number of years in business: Age: (optional)

Directions: Please answer the questions below and attach your current resume or bio. Return both items via email to
Lynn Zalokar at [email protected]. Please verify receipt of your application with Lynn by calling her at: (212) 221-7969.

• I understand that this program requires me to commit to spending one (1) hour per month (from
January 2010 to December 2010) with my mentor and I agree to this. Yes [ ] No [ ]
• I understand that I may not be able to be paired exactly to match my request below however I still
would like to participate as a mentee. Yes [ ] No [ ]

Check Box #1 and/or Box #2 (you can do both).


1. [ ] I am applying as a mentee.
2. [ ] I am applying as a Reverse Mentoring Applicant. I would like to offer my technical expertise and a different
perspective to a more senior member.

Questions: Please limit your responses to the space provided below.

1. What do you hope to gain from participation as a mentee?

2. What are some of the challenges in your current job?

3. Describe yourself in three words, describe your ideal mentor in three words:

REQUEST FOR MENTORING PARTNER: Please number the top four areas 1-4 (with 1 being the highest) where you
seek insight/leadership from a mentor. Do not mark more than four (4) boxes. Do not mark 4 boxes in each column!

Businesses Specialties Skills


Advertising [ ] Brand Experience [ ] Commercial Creativity [ ]
Broadcast/Cable [ ] Creative [ ] Career Change/Career Development [ ]
Client/Brand Management [ ] Digital [ ] Diversity/Multi-Cultural [ ]
Corp. Communications/P.R. [ ] H.R./Talent Mgmt. [ ] Networking [ ]
Digital/Interactive [ ] Integrated Media [ ] Talent Leadership/Development [ ]
Marketing/Marketing Services [ ] New Bus. Development [ ] Selling, Negotiation [ ]
Publishing [ ] Relationship Mktg. [ ] Other___________________________ [ ]
Sales [ ] Strategic Planning [ ]
Other ____________________ [ ] Sales/Acct. Mgmt. [ ]
Other ______________ [ ]

If you have any questions either about the program or the application, please contact one of the following committee
members:
 Terry Yoffe: (212) 876-8166 or [email protected]
 Beth Warren: (917) 547-1508, [email protected]

*Please note: Incomplete applications cannot be processed. All participants must be current AWNY members.
If you are interested in becoming an AWNY member please go to www.awny.org and sign up.

Application Deadline: November 2, 2009  Program Begins January 2010

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