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JHTC Mentorship Program: Mentor Application (2020)
Thank you for your interest in the JHTC Mentorship Program and taking the time to fill out this application. Submission deadline: Wednesday, October 13th, 2019.

We’d like to engage as many participants as possible and rely on the information you provide below to evaluate and match mentees and mentors. Please answer all our questions completely and thoroughly to help us create a valuable and enjoyable experience for all.

We ask that you only apply if you are able to make a minimum six-month commitment. Participation in the January 8th, 2020 kick-off meeting of the Mentorship Program is mandatory.
Why do you want to participate in this program? (3-6 sentences/bullet points) *
Your answer
What special skills, traits, or knowledge do you have? What makes you unique?
Your answer
As a mentor, what do you see as your responsibilities to ensure success of the mentorship relationship? *
Your answer
In the same context, what do you expect from your mentee? *
Your answer
Have you participated in a mentorship relationship previously?
If yes to either, what value did you gain from the experience?
Your answer
In what disciplines do you have expertise that would allow you to mentor others? *
Required
Interests/Hobbies
Your answer
What additional information would you like us to know when considering your application and mentee match?
Your answer
Full Name *
Your answer
Email *
Your answer
Phone # *
Your answer
Home City *
Your answer
LinkedIn Profile or Web Page Link or other portfolio information you would like to share *
We strongly encourage you to include your LinkedIn profile URL. If you do not have a LinkedIn profile or other webpage to share, please indicate so.
Your answer
Current Job Title/Occupation *
If you are not currently working, please tell us what you're doing (student, retired, looking for work, etc)
Your answer
Name of Employer *
If you are not currently working, you can say N/A.
Your answer
Employer City (Where do you work?) *
If you are not currently working, you can say N/A.
Your answer
Educational Background
School Attended/ Degree *
Your answer
Can you commit to participating in this program for a minimum of six months? *
Participation in the kick-off meeting of the Mentorship Program is mandatory. Can you participate in a meeting on the evening of January 8th, 2020 from 7 to 9 pm in the Palo Alto area? *
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